ADHD and Exposure to Maltreatment in Children and Youth: a Systematic Review of the Past 10 Years

Curr Psychiatry Rep. 2020 Nov 8;22(12):79. doi: 10.1007/s11920-020-01193-w.

Abstract

Purpose of the review: The purpose of the current paper was to review and summarize the literature on ADHD and maltreatment over the past 10 years.

Recent findings: The majority of research on ADHD and exposure to maltreatment focuses on the high rates of comorbidity, including international studies from Asia, South America, North America, and Europe. Longitudinal studies showed that early exposure to maltreatment is a risk factor for ADHD symptoms later in development; however, this finding was not consistent. There were some preliminary studies on the neurological and genetic mechanisms underlying the link between ADHD and exposure to maltreatment. Finally, ADHD and exposure to maltreatment were found to have an additive effect on clinically salient outcomes (e.g., aggression, suicide attempts). Results from the review have direct clinical and future implications, including the need to understand the effect of comorbid ADHD and exposure to maltreatment in treatment studies.

Keywords: ADHD; Adolescent; Child; Differential diagnosis; Maltreatment.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Adolescent
  • Asia
  • Attention Deficit Disorder with Hyperactivity* / epidemiology
  • Attention Deficit Disorder with Hyperactivity* / etiology
  • Child
  • Child Abuse*
  • Europe
  • Humans
  • North America