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Kognitive Dysfunktionen bei ADHS im Erwachsenenalter

  • Valerie ElsässerEmail author
  • Katlehn Baum
  • Claudia Bach
  • Ute Pfüller
  • Daniela Roesch-Ely
Chapter
Part of the Psychotherapie: Manuale book series (PSMA)

Zusammenfassung

Die Aufmerksamkeitsdefizits-Hyperaktivitätsstörung (ADHS) im Erwachsenalter geht mit Auffälligkeiten in den Bereichen Aufmerksamkeit, Hyperaktivität und Impulsivität einher. Neuropsychologische Untersuchungen zeigen Einschränkungen in Teilen der Exekutivfunktionen (z. B. Inhibition und Planen), im Arbeitsgedächtnis, in mehreren Teilbereichen der Aufmerksamkeit (vor allem Daueraufmerksamkeit/Vigilanz), in der Verarbeitungsgeschwindigkeit sowie im prospektiven Gedächtnis, welches mit den Exekutivfunktionen assoziiert ist. Im Zusammenhang mit ADHS wird häufig auch das Thema „underachievement“ diskutiert: Betroffene haben aufgrund kognitiver, emotionaler und motivationaler Einschränkungen enorme Schwierigkeiten, deren intellektuelles Potenzial abzurufen.

Literatur

  1. Agay, N., Yechiam, E., Carmel, Z., & Levkovitz, Y. (2010). Non-specific effects of methylphenidate (Ritalin) on cognitive ability and decision-making of ADHD and healthy adults. Psychopharmacology, 210(4), 511–519.  https://doi.org/10.1007/s00213-010-1853-4.CrossRefPubMedGoogle Scholar
  2. Alderson, R. M., Kasper, L. J., Hudec, K. L., & Patros, C. H. G. (2013). Attention-deficit/hyperactivity disorder (ADHD) and working memory in adults: A meta-analytic review. Neuropsychology, 27(3), 287–302.  https://doi.org/10.1037/a0032371.CrossRefPubMedGoogle Scholar
  3. American Psychiatric Association (Hrsg.). (2015). Diagnostisches und statistisches Manual psychischer Störungen DSM-5 (5. Aufl.). Göttingen: Hogrefe.Google Scholar
  4. AWMF (Hrsg.). (2017). Kurzfassung der Leitlinie „ADHS bei Kindern, Jugendlichen und Erwachsenen“.Google Scholar
  5. Bridgett, D. J., & Walker, M. E. (2006). Intellectual functioning in adults with ADHD: A meta-analytic examination of full scale IQ differences between adults with and without ADHD. Psychological Assessment, 18(1), 1–14.  https://doi.org/10.1037/1040–3590.18.1.1.CrossRefPubMedGoogle Scholar
  6. Caillies, S., Bertot, V., Motte, J., Raynaud, C., & Abely, M. (2014). Social cognition in ADHD: Irony under-standing and recursive theory of mind. Research in Developmental Disabilities, 35(11), 3191–3198.  https://doi.org/10.1016/j.ridd.2014.08.002.CrossRefGoogle Scholar
  7. Corbett, B., & Stanczak, D. E. (1999). Neuropsychological performance of adults evidencing attention-deficit hyperactivity disorder. Archives of Clinical Neuropsychology, 14(4), 373–387.  https://doi.org/10.1016/S0887-6177(98)00037-7.CrossRefPubMedGoogle Scholar
  8. Cowley, B., Holmstrom, E., Juurmaa, K., Kovarskis, L., & Krause, C. M. (2016). Computer enabled neuroplasticity treatment: A clinical trial of a novel design for neurofeedback therapy in adult ADHD. Frontiers in Human Neuroscience, 10, ARTN 205.  https://doi.org/10.3389/fnhum.2016.00205.
  9. Creamer, S. (2014). Examination of the influence of processing speed on the neuropsychological performance of attention deficit/hyperactivity disorder (ADHD) adults. ProQuest Information & Learning, US.Google Scholar
  10. Dilling, H., Mombour, A. W., & Schmidt, A. M. H. (Hrsg.). (2014). Internationale Klassifikation psychischer Störungen: ICD-10 Kapitel V (F). Klinisch-diagnostische Leitlinien. Bern: Huber.Google Scholar
  11. Dinn, W. M., Robbins, N. C., & Harris, C. L. (2001). Adult attention-deficit/hyperactivity disorder: Neuropsychological correlates and clinical presentation. Brain and Cognition, 46(1–2), 114–121.  https://doi.org/10.1016/S0278-2626(01)80046-4.CrossRefPubMedGoogle Scholar
  12. Dörner, K. (Hrsg.). (2017). Irren ist menschlich: Lehrbuch der Psychiatrie und Psychotherapie (24. Aufl.). Köln: Psychiatrie.Google Scholar
  13. Dowson, J. H., McLean, A., Bazanis, E., Toone, B., Young, S., Robbins, T. W., et al. (2004). Impaired spatial working memory in adults with attention-deficit/hyperactivity disorder: Comparisons with performance in adults with borderline personality disorder and in control subjects. Acta Psychiatrica Scandinavica, 110(1), 45–54.  https://doi.org/10.1111/j.1600–0447.2004.00292.x.CrossRefPubMedGoogle Scholar
  14. Ebert, D., Philipsen, A., & Hesslinger, B. (2012). Die Aufmerksamkeitsdefizite-/Hyperaktivitätsstörung (ADHS) des Erwachsenalters. In M. Berger (Hrsg.), Psychische Erkankungen (4. Aufl., S. 829–838). München: Urban & Fischer.CrossRefGoogle Scholar
  15. Epstein, J. N., Conners, C. K., Sitarenios, G., & Erhardt, D. (1998). Continuous performance test results of adults with attention deficit hyperactivity disorder. The Clinical Neuropsychologist, 12(2), 155–168.  https://doi.org/10.1076/clin.12.2.155.2000.CrossRefGoogle Scholar
  16. Epstein, J. N., Johnson, D. E., Varia, I. M., & Conners, C. K. (2001). Neuropsychological assessment of response inhibition in adults with ADHD. Journal of Clinical and Experimental Neuropsychology, 23(3), 362–371.  https://doi.org/10.1076/jcen.23.3.362.1186.CrossRefPubMedGoogle Scholar
  17. Fuermaier, A. B. M., Tucha, L., Koerts, J., Weisbrod, M., Lange, K. W., Aschenbrenner, S., et al. (2017). Effects of methylphenidate on memory functions of adults with ADHD. Applied Neuropsychology-Adult, 24(3), 199–211.  https://doi.org/10.1080/23279095.2015.1124108.CrossRefPubMedGoogle Scholar
  18. Germano, E., Gagliano, A., & Curatolo, P. (2010). Comorbidity of ADHD and dyslexia. Developmental Neuropsychology, 35(5), 475–493.  https://doi.org/10.1080/87565641.2010.494748.CrossRefPubMedGoogle Scholar
  19. Gonzalez-Gadea, M. L., Baez, S., Torralva, T., Castellanos, F. X., Rattazzi, A., Bein, V., et al. (2013). Cognitive variability in adults with ADHD and AS: Disentangling the roles of executive functions and social cognition. Research in Developmental Disabilities, 34(2), 817–830.  https://doi.org/10.1016/j.ridd.2012.11.009.CrossRefPubMedGoogle Scholar
  20. Hervey, A. S., Epstein, J. N., & Curry, J. F. (2004). Neuropsychology of adults with attention-deficit/hyperactivity disorder: A meta-analytic review. Neuropsychology, 18(3), 485–503.  https://doi.org/10.1037/0894–4105.18.3.485.CrossRefPubMedGoogle Scholar
  21. Heßlinger, B., Philipsen, A., & Richter, H. (2004). Psychotherapie der ADHS im Erwachsenenalter: Ein Arbeitsbuch (Therapeutische Praxis). Göttingen/Bern: Hogrefe.Google Scholar
  22. Hollingsworth, D. E., McAuliffe, S. P., & Knowlton, B. J. (2001). Temporal allocation of visual attention in adult attention deficit hyperactivity disorder. Journal of Cognitive Neuroscience, 13(3), 298.CrossRefGoogle Scholar
  23. Jenkins, M., Cohen, R., Malloy, P., Salloway, S., Gillard Johnson, E., Penn, J., et al. (1998). Neuropsychological measures which discriminate among adults with residual symptoms of attention deficit disorder and other attentional complaints. The Clinical Neuropsychologist, 12(1), 74–83.  https://doi.org/10.1076/clin.12.1.74.1725.CrossRefGoogle Scholar
  24. Kaye, S., Gilsenan, J., Young, J. T., Carruthers, S., Allsop, S., Degenhardt, L., et al. (2014). Risk behaviours among substance use disorder treatment seekers with and without adult ADHD symptoms. Drug and Alcohol Dependence, 144, 70–77.  https://doi.org/10.1016/j.drugalcdep.2014.08.008.CrossRefPubMedGoogle Scholar
  25. Kooij, S. J. J., Bejerot, S., Blackwell, A., Caci, H., Casas-Brugue, M., Carpentier, P. J., et al. (2010). European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD. BMC Psychiatry, 10, Artn 67  https://doi.org/10.1186/1471-244x-10-67.
  26. Krause, J., & Krause, K.-H. (2014). ADHS im Erwachsenenalter: Symptome, Differentialdiagnose, Therapie; mit 23 Tabellen; [zusätzlich online: diagnostisches Interview] (4. Aufl.). Stuttgart/New York: Schattauer.Google Scholar
  27. Lauth, G. W., & Raven, H. (2009). Aufmerksamkeitsdefizit/Hyperaktivitätsstörungen (ADHS) im Erwachsenenalter. Ein Review. Psychotherapeutenjournal, 2009(1), 17–30.Google Scholar
  28. Lovejoy, D. W., Ball, J. D., Keats, M., Stutts, M. L., Spain, E. H., Janda, L., et al. (1999). Neuropsychological performance of adults with attention deficit hyperactivity disorder (ADHD): Diagnostic classification estimates for measures of frontal lobe/executive functioning. Journal of the International Neuropsychological Society, 5(3), 222–233.CrossRefGoogle Scholar
  29. Marije Boonstra, A., Oosterlaan, J., Sergeant, J. A., & Buitelaar, J. K. (2005). Executive functioning in adult ADHD: A meta-analytic review. Psychological Medicine, 35(8), 1097–1108.  https://doi.org/10.1017/S003329170500499X.CrossRefPubMedGoogle Scholar
  30. Nielsen, N. P., & Wiig, E. H. (2011). AQT cognitive speed and processing efficiency differentiate adults with and without ADHD: A preliminary study. International Journal of Psychiatry in Clinical Practice, 15(3), 219–227.  https://doi.org/10.3109/13651501.2011.582538.CrossRefPubMedGoogle Scholar
  31. Pedersen, A., & Ohrmann, P. (2018). Impaired behavioral inhibition in implicit sequence learning in adult ADHD. Journal of Attention Disorders, 22(3), 250–260.  https://doi.org/10.1177/1087054712464392.CrossRefPubMedGoogle Scholar
  32. Rapport, M. D., Orban, S. A., Kofler, M. J., & Friedman, L. M. (2013). Do programs designed to train working memory, other executive functions, and attention benefit children with ADHD? A meta-analytic review of cognitive, academic, and behavioral outcomes. Clinical Psychology Review, 33(8), 1237–1252.  https://doi.org/10.1016/j.cpr.2013.08.005.CrossRefPubMedGoogle Scholar
  33. Retz, W., & Klein, R. G. (Hrsg.). (2010). Attention deficit hyperactivity disorder (ADHD) in adults. Basel/Freiburg: Karger.Google Scholar
  34. Rohlf, H., Jucksch, V., Gawrilow, C., Huss, M., Hein, J., Lehmkuhl, U., et al. (2012). Set shifting and working memory in adults with attention-deficit/hyperactivity disorder. Journal of Neural Transmission, 119(1), 95–106.  https://doi.org/10.1007/s00702–011–0660–3.CrossRefPubMedGoogle Scholar
  35. Rösler, M. (Hrsg.). (2008). Homburger ADHS-Skalen für Erwachsene: HASE; Untersuchungsverfahren zur syndromalen und kategorialen Diagnostik der Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) im Erwachsenenalter; Manual. Göttingen: Hogrefe.Google Scholar
  36. Schmidt, S., & Petermann, F. (2011). ADHD across the lifespan – Symptoms and new diagnostic approaches. Zeitschrift für Psychiatrie Psychologie und Psychotherapie, 59(3), 227–238.  https://doi.org/10.1024/1661–4747/a000074.CrossRefGoogle Scholar
  37. Schoechlin, C., & Engel, R. R. (2005). Neuropsychological performance in adult attention-deficit hyper-activity disorder: Meta-analysis of empirical data. Archives of Clinical Neuropsychology, 20(6), 727–744.  https://doi.org/10.1016/j.acn.2005.04.005.CrossRefGoogle Scholar
  38. Seidman, L. J., Biederman, J., Weber, W., Hatch, M., & Faraone, S. V. (1998). Neuropsychological function in adults with attention-deficit hyperactivity disorder. Biological Psychiatry, 44(4), 260–268.  https://doi.org/10.1016/S0006-3223(97)00392-2.CrossRefPubMedGoogle Scholar
  39. Skodzik, T., Holling, H., & Pedersen, A. (2017). Long-term memory performance in adult ADHD: A meta-analysis. Journal of Attention Disorders, 21(4), 267–283.  https://doi.org/10.1177/1087054713510561.CrossRefPubMedGoogle Scholar
  40. Taylor, C. J., & Miller, D. C. (1997). Neuropsychological assessment of attention in ADHD adults. Journal of Attention Disorders, 2(2), 77–88.  https://doi.org/10.1177/108705479700200202.CrossRefGoogle Scholar
  41. Tucha, L., Tucha, O., Laufkötter, R., Walitza, S., Klein, H. E., & Lange, K. W. (2008). Neuropsychological assessment of attention in adults with different subtypes of attention-deficit/hyperactivity disorder. Journal of Neural Transmission, 115(2), 269–278.  https://doi.org/10.1007/s00702–007–0836-z.CrossRefPubMedGoogle Scholar
  42. Tucha, L., Tucha, O., Walitza, S., Sontag, T. A., Laufkötter, R., Linder, M., et al. (2009). Vigilance and sustained attention in children and adults with ADHD. Journal of Attention Disorders, 12(5), 410–421.  https://doi.org/10.1177/1087054708315065.CrossRefPubMedGoogle Scholar
  43. Waddington, F., Hartman, C., de Bruijn, Y., Lappenschaar, M., Oerlemans, A., Buitelaar, J., et al. (2018). Visual and auditory emotion recognition problems as familial cross-disorder phenomenon in ASD and ADHD. European Neuropsychopharmacology, 28(9), 994–1005.  https://doi.org/10.1016/j.euroneuro.2018.06.009.CrossRefPubMedGoogle Scholar
  44. Woods, S. P., Lovejoy, D. W., & Ball, J. D. (2002). Neuropsychological characteristics of adults with ADHD: A comprehensive review of initial studies. The Clinical Neuropsychologist, 16(1), 12–34.  https://doi.org/10.1076/clin.16.1.12.8336.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2019

Authors and Affiliations

  • Valerie Elsässer
    • 1
    Email author
  • Katlehn Baum
    • 1
  • Claudia Bach
    • 2
  • Ute Pfüller
    • 3
  • Daniela Roesch-Ely
    • 1
  1. 1.Zentrum für Psychosoziale Medizin, Klinik für Allgemeine PsychiatrieUniversitätsklinikum HeidelbergHeidelbergDeutschland
  2. 2.Praxis für Psychotherapie und Coaching Rhein-NeckarSchriesheimDeutschland
  3. 3.Praxis für PsychotherapieHeidelbergDeutschland

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