5/30/2023 0 Comments Prudence shen![]() Although this proposal was supported by previous research, it raised concerns about the possibility of artificially increasing false positives and the prevalence of the disorder. 7– 9 Considering this, the DSM-5 Work Group initially suggested a four-symptom cutoff on either list for assigning ADHD as a diagnosis for adults. ![]() Reducing the number of required symptoms to four (rather than six) in both ADHD dimensions has been proposed as more appropriate for adult patients, capturing a significant proportion of individuals with clinically relevant impairment from ADHD symptoms. Nevertheless, impairment resulting from the symptoms tends to persist, 4– 6 even when the number of remaining symptoms is fewer than required to assign the diagnosis. Previous investigations documented a normative decrease in ADHD symptoms across the life span in both clinical and community samples. ![]() 2, 3 We focus here on two of the 2010 proposed changes that substantially affect adults: 1) reducing the number of required symptoms from six to four in both ADHD dimensions (inattention and hyperactivity/impulsivity) for adult patients and 2) the addition of four new impulsivity symptoms. 1 In 2010, the APA ADHD and Disruptive Behavior Disorders Work Group (referred to hereafter as the DSM-5 Work Group) proposed changes to the criteria for attention deficit hyperactivity disorder (ADHD).ĭSM-IV ADHD criteria and the proposed DSM-5 criteria were not tested in field trials with adults. ![]()
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