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Personal paper: attention deficit hyperactivity disorder is underdiagnosed and undertreated in Britain.(Education and Debate)

British Medical Journal

| May 23, 1998 | Kewley, Geoffrey D. | COPYRIGHT 2003 British Medical Association. (Hide copyright information)Copyright

Attention deficit hyperactivity disorder is a condition of brain dysfunction[1 2] that is misunderstood and under-recognised in Britain. Research shows that it is a genetic, inherited condition that can be effectively managed Studies of Twins suggest an exceptionally high concordance,[3] and genetic studies show a likely polygenetic basis for inheritance.[4] Evidence of brain dysfunction has been found in cerebral imaging studies, including functional magnetic resonance imaging, quantitative electroencephalography, and positron emission tomography.[5] If untreated the disorder may interfere with educational and social development and predispose to psychiatric and other difficulties. There is much myth and misinformation, fuelled by personal bias and the media, surrounding the existence and treatment of the condition, which has led to an assumption that it is overdiagnosed and overtreated in Britain.

Psychosocial approaches encourage the belief that poor parental discipline causes most children's behaviour problems. Such approaches generally ignore a biological basis to difficulties in self control, concentration, and hyperactivity. Widespread ignorance exists about attention deficit hyperactivity disorder and the need …

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