DÄ internationalArchive44/2008Attention Deficit Hyperactivity Disorder in Adulthood: Primary and Secondary ADHD


Attention Deficit Hyperactivity Disorder in Adulthood: Primary and Secondary ADHD

Dtsch Arztebl Int 2008; 105(44): 765. DOI: 10.3238/arztebl.2008.0765a
by Dr. med. Alexandra Philipsen, Priv.-Doz. Dr. med. Bernd Heßlinger, Prof. Dr. med. Ludger Tebartz van Elst in volume 17/2008

Vogel, A

LNSLNS The authors are to be congratulated for their clear and structured description of the pathology in adulthood. My only criticism is the categorization into primary and secondary ADHD. I think the term "secondary ADHD" is unfortunate and confusing because the problem in question is mostly organic cerebral psychiatric syndromes in the wider sense, which may of course resemble the symptoms of mainly genetically caused ADHD. In a patient with frontal lobe syndrome, one would not talk about "secondary ADHD", even though the patient may meet the criteria in terms of attention deficit, impaired concentration, and impulsiveness (or labile affect). I therefore think the term secondary ADHD is more of a hindrance to the difficult differential diagnostics and the often present comorbidities, for diagnostic as well as therapeutic and prognostic reasons. DOI: 10.3238/arztebl.2008.0765a

Dr. med Andreas Vogel
Lavendelweg 1
66424 Homburg/Saar, Germany

Conflict of interest statement
The author declares that no conflict of interest exists according to the guidelines of the International Committee of Medical Journal Editors.