TY - JOUR
T1 - Delineating ADHD and bipolar disorder
T2 - A comparison of clinical profiles in adult women
AU - Kitsune, Glenn L.
AU - Kuntsi, Jonna
AU - Costello, Helen
AU - Frangou, Sophia
AU - Hosang, Georgina M.
AU - McLoughlin, Gráinne
AU - Asherson, Philip
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Objective Overlapping symptoms can make the diagnostic differentiation of attention-deficit/hyperactivity disorder (ADHD) and bipolar disorder (BD) challenging in adults using current clinical assessments. This study sought to determine if current clinical measures delineate ADHD from BD in adults, comparing relative levels of ADHD, BD and emotional lability (EL) symptoms. Methods Sixty adult women with ADHD, BD or controls were compared on self-report and interview measures for ADHD symptoms, mania, depression, EL, and impairment. Results ADHD interview measures and self-ratings of ADHD symptoms best discriminated between ADHD and BD. Self-report measures of EL and depression showed non-specific enhancement in both clinical groups. BD-specific items may distinguish BD from ADHD if a retrospective time-frame is adopted. Conclusions Using measures which capture specific symptoms of ADHD and chronicity/episodicity of symptoms facilitates the delineation of ADHD from BD in adult women.
AB - Objective Overlapping symptoms can make the diagnostic differentiation of attention-deficit/hyperactivity disorder (ADHD) and bipolar disorder (BD) challenging in adults using current clinical assessments. This study sought to determine if current clinical measures delineate ADHD from BD in adults, comparing relative levels of ADHD, BD and emotional lability (EL) symptoms. Methods Sixty adult women with ADHD, BD or controls were compared on self-report and interview measures for ADHD symptoms, mania, depression, EL, and impairment. Results ADHD interview measures and self-ratings of ADHD symptoms best discriminated between ADHD and BD. Self-report measures of EL and depression showed non-specific enhancement in both clinical groups. BD-specific items may distinguish BD from ADHD if a retrospective time-frame is adopted. Conclusions Using measures which capture specific symptoms of ADHD and chronicity/episodicity of symptoms facilitates the delineation of ADHD from BD in adult women.
KW - Adults
KW - Attention/deficit Hyperactivity-disorder
KW - Bipolar disorder
KW - Diagnostic errors
KW - Mood disorders
UR - http://www.scopus.com/inward/record.url?scp=84951271807&partnerID=8YFLogxK
U2 - 10.1016/j.jad.2015.12.024
DO - 10.1016/j.jad.2015.12.024
M3 - Article
AN - SCOPUS:84951271807
SN - 0165-0327
VL - 192
SP - 125
EP - 133
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
ER -
