Evidence map›Paper›PMID 40251875›Full record

SynthesisJournal of attention disorders2025

ADHD and Sex Hormones in Females: A Systematic Review.

Elyssa Osianlis, Elizabeth H X Thomas, Lisanne Michelle Jenkins, Caroline Gurvich

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of attention disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
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  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Elyssa OsianlisHER Centre Australia, Department of Psychiatry, School of Translational Medicine, Monash University, Melbourne, VIC, Australia.
Elizabeth H X ThomasHER Centre Australia, Department of Psychiatry, School of Translational Medicine, Monash University, Melbourne, VIC, Australia.
Lisanne Michelle JenkinsHER Centre Australia, Department of Psychiatry, School of Translational Medicine, Monash University, Melbourne, VIC, Australia.
Caroline GurvichHER Centre Australia, Department of Psychiatry, School of Translational Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-5663-3419

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveADHD is a neurodevelopmental condition associated with elevated symptoms of inattention and hyperactivity/impulsivity. Symptoms of ADHD typically persist into adulthood and can impair functioning and overall quality of life. In females (including women and people assigned female at birth), ADHD is under-recognized, and knowledge about the relationship between ADHD symptoms and sex hormones is lacking. This systematic review aimed to synthesize the current evidence investigating the relationship between ADHD symptoms (including medication effects) and sex hormones in females.

methodSearches were conducted within Ovid MEDLINE, Embase, and PsycINFO from 1980 to January 2025. Included studies investigated ADHD symptoms in the context of hormonal changes in females, including studies specifically exploring ADHD and sex hormones, as well as hormonal life stages (puberty, menstrual cycle, and pregnancy). Narrative synthesis was utilized for data extraction, grouping studies by hormonal phase.

resultsA total of 11 studies were included in this review. Evidence was largely suggestive of a relationship between ADHD symptoms and sex hormones in females, specifically in puberty and across the menstrual cycle. Findings were limited by the small number of studies reviewed, often with small sample sizes and considerable diversity in participant populations and outcome measures.

conclusionSex hormones and phases related to hormonal changes (such as puberty and the menstrual cycle) may be associated with ADHD symptom changes in females. Further research is needed to understand the relationship between sex hormones and ADHD symptoms and requires investigation of a wider range of hormonal milestones in females, including menopause.

Indexed as

Attention Deficit Disorder with HyperactivityGonadal Steroid HormonesMenstrual CyclePubertyFemaleHumansPregnancyGonadal Steroid HormonesADHDfemaleshormones

Identifiers

PMID40251875
PMCPMC12145478

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.