Evidence map›Paper›PMID 42286570›Full record

ArticleBMC psychiatry2026

How do large language models answer ADHD-related questions? A comparative study of ChatGPT, Gemini, and DeepSeek.

Berrin Bilgiç, Serkan Turan, Sibelnur Avcil, Aynur Akay Pekcanlar

Abstract readComparative Study
In one paragraph

Article in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Berrin BilgiçDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Adnan Menderes University, Aydın, Türkiye. berrinbilgic@adu.edu.tr.ORCID http://orcid.org/0000-0002-0180-5797
Serkan TuranDepartment of Child and Adolescent Psychiatry,Faculty of Medicine, Bursa Uludag University, Bursa, Türkiye.ORCID http://orcid.org/0000-0002-6548-0629
Sibelnur AvcilDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Adnan Menderes University, Aydın, Türkiye.
Aynur Akay PekcanlarDepartment of Child and Adolescent Psychiatry,Faculty of Medicine, Dokuz Eylül University, İzmir, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLarge language models (LLMs) are increasingly used by patients and caregivers as sources of health information. However, their performance in addressing attention-deficit/hyperactivity disorder (ADHD)-related questions has not been systematically compared. This study aimed to evaluate and compare the accuracy, reproducibility, quality, usefulness, and reliability of responses generated by ChatGPT (GPT-4o), Gemini, and DeepSeek R1.

methodsIn this cross-sectional comparative study, 22 commonly asked ADHD-related questions identified from publicly available digital sources were categorized into four domains: basic knowledge, diagnosis and assessment, treatment and medication, and long-term outcomes. Each question was presented to all three models using the same standardized prompts in separate chat sessions. The generated responses were independently evaluated by two specialists in child and adolescent psychiatry. Reproducibility was examined by repeating the same queries on different days. Descriptive statistics and non-parametric repeated-measures analyses were used to compare model performance.

resultsAll models showed high overall accuracy, with mean scores of 91% for ChatGPT (GPT-4o), 89% for Gemini, and 87% for DeepSeek R1. Reproducibility followed a similar pattern (89%, 86%, and 84%, respectively). Gemini and DeepSeek performed relatively better in basic knowledge and diagnostic domains, whereas ChatGPT (GPT-4o) showed stronger performance in treatment and long-term outcome-related questions. Significant differences were observed in quality, usefulness, and reliability across models, with ChatGPT (GPT-4o) achieving the highest overall expert-rated scores.

conclusionAlthough large language models generally provided accurate responses to ADHD-related questions, notable differences were observed in the depth, clarity, and clinical usefulness of the information across models. These systems may serve as supportive sources of information for patients and caregivers; however, their responses should be interpreted with caution and should not replace professional clinical evaluation or medical advice.

Indexed as

Attention Deficit Disorder with HyperactivityLarge Language ModelsCross-Sectional StudiesGenerative Artificial IntelligenceHumansReproducibility of ResultsAttention-deficit/hyperactivity disorderDigital health informationLarge language models

Identifiers

PMID42286570
PMCPMC13505058

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.