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Good articleAttention deficit hyperactivity disorder has been listed as one of the Natural sciences good articles under the good article criteria. If you can improve it further, please do so. If it no longer meets these criteria, you can reassess it.
Article milestones
DateProcessResult
September 16, 2006Good article nomineeListed
October 8, 2006Featured article candidateNot promoted
March 13, 2007Good article reassessmentDelisted
August 16, 2013Good article nomineeListed
February 17, 2014Peer reviewReviewed
Current status: Good article

Semi-protected edit request on 9 August 2025

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Change "Additionally, evolutionary psychiatrist Randolph M. Nesse has argued that the 5:1 male-to-female sex ratio in the epidemiology of ADHD suggests that ADHD may be the end of a continuum where males are overrepresented at the tails, citing clinical psychologist Simon Baron-Cohen's suggestion for the sex ratio in the epidemiology of autism as an analogue.[92][93][94]"

to

"Additionally, evolutionary psychiatrist Randolph M. Nesse has argued that the 5:1 male-to-female sex ratio in the epidemiology of ADHD suggests that ADHD may be the end of a continuum where males are overrepresented at the tails, citing clinical psychologist Simon Baron-Cohen's suggestion for the sex ratio in the epidemiology of autism as an analogue.[92][93][94] However, Baron-Cohen's extreme male brain theory of autism has been heavily criticized due to the contested quality of the empirical evidence used to create it, as well as its reliance on unproven gender essentialist arguments[1] [2]. Contemporary research argues that the overrepresentation of males in diagnoses for both autism and ADHD is caused by diagnostic gender bias[3] [4] [5] [6] [7]." Wrenched (talk) 12:10, 9 August 2025 (UTC)[reply]

References

  1. ^ Ridley, Rosalind (January 2019). "Some difficulties behind the concept of the 'Extreme male brain' in autism research. A theoretical review". Research in Autism Spectrum Disorders. 57: 19-27. doi:https://doi.org/10.1016/j.rasd.2018.09.007. Retrieved 09/08/2025. {{cite journal}}: Check |doi= value (help); Check date values in: |access-date= (help); External link in |doi= (help)
  2. ^ Gernsbacher, MA; Yergeau, Remi (2019). "Empirical Failures of the Claim That Autistic People Lack a Theory of Mind". Archives of scientific psychology. 7 (1): 102–118. doi:10.1037/arc0000067. PMID 31938672. Retrieved 9 August 2025.
  3. ^ Bhargava, Aarushi; Ashwin, Chris (1 March 2025). "Barriers and facilitators towards an autism diagnosis for females within healthcare: A thematic analysis of interviews with UK healthcare professionals". Research in Autism. 121–122: 202547. doi:https://doi.org/10.1016/j.reia.2025.202547. {{cite journal}}: Check |doi= value (help); External link in |doi= (help)
  4. ^ Devlin, Hannah (14 September 2018). "Thousands of autistic girls and women 'going undiagnosed' due to gender bias". The Guardian. Retrieved 9 August 2025.
  5. ^ Haney, Jolynn L. (3 July 2016). "Autism, females, and the DSM-5: Gender bias in autism diagnosis". Social Work in Mental Health. 14 (4): 396–407. doi:10.1080/15332985.2015.1031858. ISSN 1533-2985. Retrieved 9 August 2025.
  6. ^ Slobodin, Ortal; Davidovitch, Michael (2019). "Gender Differences in Objective and Subjective Measures of ADHD Among Clinic-Referred Children". Frontiers in Human Neuroscience. 13: 441. doi:10.3389/fnhum.2019.00441. ISSN 1662-5161. Retrieved 9 August 2025.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  7. ^ Almekhlafi, Kayla; Jain, Sonia (30 May 2024). "Unveiling Gender Disparities in ADHD: A Literature Review on Factors and Impacts of Late Diagnosis in Females (2010-2023)". Journal of Womans Mental Health. 1 (1): 9–21. Retrieved 9 August 2025.

Not done for now: Malformed citations. Only one secondary source cited (The Guardian). The primary source, Journal of Women's Mental Health, is considered predatory. I don't get a good vibe from this request and think other editors with history in this article should review especially per WP:MEDRS. Xan747 (talk) 02:34, 26 August 2025 (UTC)[reply]

I agree Димитрий Улянов Иванов (talk) 08:05, 28 August 2025 (UTC)[reply]
Completely fails standards of WP:MEDRS. Lots of speculation from non-medical sources. Sundayclose (talk) 21:49, 29 August 2025 (UTC)[reply]

Edit to “Comorbidies” section

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In the “Rejection sensitive dysphoria” subsection of the “Comorbidies” section, there is duplicate text. Specifically:

Rejection sensitive dysphoria, while not a formal diagnosis, is also a common symptom of ADHD, estimated to affect a majority of people with ADHD. Others posit that rejection sensitivity stems from early attachment relationships and parental rejection; peer rejection is also thought to play a role. Bullying, an extreme form of peer rejection, is likely connected to later rejection sensitivity.However, there is no conclusive evidence for any of these theories.

This paragraph appears at the beginning and end of that section and should be removed from one of those places. 2600:1000:B122:EFED:6D41:4074:98DC:4C5C (talk) 16:01, 2 September 2025 (UTC)[reply]

Nice catch. I removed it from the end of the section, as it is clearly required at the beginning of the section to introduce the symptom. Xan747 (talk) 17:05, 2 September 2025 (UTC)[reply]

Does ADHD affect other parts of the basal ganglia other than the striatum?

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I thought that was the main area impacted. Mainly, reward anticipation cues in the striatum are blunted in those with ADHD and only during reward delivery does it light up, sometimes more so than in those without it. This may play a part in why we (I myself have ADHD) have a strong preference for immediate rewards over delayed ones. There was a study about this I was trying to find. But anyway, are there other areas? Because I was thinking about changing the part in the picture to the striatum instead of the basal ganglia. BlueFlare5059 (talk) 16:30, 16 September 2025 (UTC)[reply]

Don't make any changes without a reliable source. And note that medical articles have higher standards for determining whether a source is medically reliable. See WP:MEDRS. Ideally this would be one or more review articles in peer-reviewed professional journals that summarize scientific consensus. And please, no pop psychology or other popular press, including most newspaper and magazine articles. Sundayclose (talk) 17:02, 16 September 2025 (UTC)[reply]

Natural selection paragraph

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The current version of the article has this paragraph in the Genetics section:

Natural selection has been acting against some genetic variants for ADHD over at least 45,000 years, complicating the suggestion that ADHD was an adaptive form of neurodiversity in the human evolutionary past.[1][2] The disorder may remain at a stable rate by the balance of genetic mutations and removal rate (natural selection) across generations; over thousands of years, these genetic variants become more stable, decreasing disorder prevalence.[3] During human evolution, executive functions disrupted in ADHD, likely provide the capacity to bind contingencies across time thereby directing behaviour toward future over immediate events so as to maximise social consequences for humans.[4]

References

  1. ^ Hunt, Adam D.; Jaeggi, Adrian V. (January 2022). "Specialised minds: extending adaptive explanations of personality to the evolution of psychopathology". Evolutionary Human Sciences. 4 e26. doi:10.1017/ehs.2022.23. ISSN 2513-843X. PMC 10426115. PMID 37588937.
  2. ^ Esteller-Cucala P, Maceda I, Børglum AD, Demontis D, Faraone SV, Cormand B, Lao O (May 2020). "Genomic analysis of the natural history of attention-deficit/hyperactivity disorder using Neanderthal and ancient Homo sapiens samples". Scientific Reports. 10 (1) 8622. Bibcode:2020NatSR..10.8622E. doi:10.1038/s41598-020-65322-4. PMC 7248073. PMID 32451437.
  3. ^ Keller MC (December 2008). "The evolutionary persistence of genes that increase mental disorders risk". Current Directions in Psychological Science. 17 (6): 395–399. doi:10.1111/j.1467-8721.2008.00613 (inactive 1 July 2025).{{cite journal}}: CS1 maint: DOI inactive as of July 2025 (link)
  4. ^ Barkley RA (2004). "Attention-deficit/hyperactivity disorder and self-regulation: Taking an evolutionary perspective on executive functioning.". In Baumeister RF, Vohs KD (eds.). Handbook of self-regulation: Research, theory, and applications. Guilford Press. pp. 301–323.

I have WP:MEDRS concerns with Keller 2008 and Barkley 2004 being dated, the former not being a review article, and the latter being the views of only a single author. At the very least, I am wondering whether we should attribute these claims. Aside from that, both sentences could use some editing. Xan747 (talk) 16:03, 8 October 2025 (UTC)[reply]

The second reference is a Genomic analysis (2020) published in Nature, one of the most reputable journals available, in which they reached that conclusion. It is a robust reference. Keller (2008) and Barkley (2004) are not outdated unless significant evidence has since overturned their research. As for the latter being the views of a single author, this is not concerning as the publication has undergone peer-review whereby an external team of evaluators have examined the results and agreed with its contents. Димитрий Улянов Иванов (talk) 13:53, 14 October 2025 (UTC)[reply]
@Димитрий Улянов Иванов, thank you for your response. I take your point about Barkley (2004) being a book chapter which likely did have some editorial oversight. There is a review of the book which I cannot now find that urged some caution about some of the chapters being leading-edge research. Though it did not mention Barkley's chapter specifically, the review did give me some pause. However, from the more recent citations given, there does seem to be support for positive selection pressure for ADHD-like traits in pre-industrial human society. To the hopper I add Barack et al. (2017)[1] Multiple authors, reputable publisher, reinforces other citations, probably also due for inclusion. Xan747 (talk) 17:18, 22 October 2025 (UTC)[reply]

References

  1. ^ Barack, David L.; Ludwig, Vera U.; Parodi, Felipe; Ahmed, Nuwar; Brannon, Elizabeth M.; Ramakrishnan, Arjun; Platt, Michael L. (February 28, 2024). "Attention deficits linked with proclivity to explore while foraging". Proceedings of the Royal Society B: Biological Sciences. 291 (2017). doi:10.1098/rspb.2022.2584. ISSN 0962-8452. PMC 10878810. PMID 38378153. Retrieved October 22, 2025.

Societal cost

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The statement that "the disorder costs society hundreds of billions of US dollars each year, worldwide" is in the lead but not substantiated in the article body. I've checked similar articles (such as the other 5 listed at Neurodevelopmental disorder as well as Dyslexia) and none of them seem to have similar statements, although Epilepsy has a bit about economic costs under "society and culture", so I'm wondering whether the statement should be moved further down the article (in general the lack of any section on societal impact seems notable, so maybe this would involve creating that section), removed entirely, or kept as is. lp0 on fire (talk) 21:01, 8 October 2025 (UTC)[reply]

Thank you for bringing this up.
@Димитрий Улянов Иванов I know we discussed this before, but this statement is not very clear, gives confusing connotations, and is not relevant to the article. Also, given the nature of mental disorder diagnostics, any change in its diagnostic criteria could potentially add or reduce the actual total societal costs. It should just be removed. Slothwizard (talk) 23:13, 8 October 2025 (UTC)[reply]
It's a well-sourced factual statement so I'm not sure we should be quite so quick to delete something we just don't like. It's currently worded to match the source, and the stuff about changing diagnostic criteria is probably not going to change the truth of wording as nonspecific as "billions", although that statement in itself is arguably WP:OR. As for relevance, I think (as I mentioned above) that this article as a whole ought to have more coverage about effects on society. However, I worry that keeping this without other significant discussion of the effects on society could be non-neutral coverage. Either way, it has no place in the lead, so I'm glad to see you've deleted it for now. lp0 on fire (talk) 08:07, 9 October 2025 (UTC)[reply]
No for the lede, yes for the body. If we withheld well-sourced and relevant information because not enough other stuff existed in its subtopic, nothing would ever get added. Xan747 (talk) 15:19, 9 October 2025 (UTC)[reply]
Do you think I should create a "society and culture" section with just that statement in it and a "needs expanding" tag? I'm not familiar enough with the topic area to write the whole section. lp0 on fire (talk) 15:36, 9 October 2025 (UTC)[reply]

Posting the sentence in question at the bottom here for now: lp0 on fire (talk) 15:39, 9 October 2025 (UTC)[reply]

As a consequence, the disorder costs society hundreds of billions of US dollars each year, worldwide.[1]

References

  1. ^ Faraone, Stephen V.; Banaschewski, Tobias; Coghill, David; Zheng, Yi; Biederman, Joseph; Bellgrove, Mark A.; Newcorn, Jeffrey H.; Gignac, Martin; Al Saud, Nouf M.; Manor, Iris; Rohde, Luis Augusto; Yang, Li; Cortese, Samuele; Almagor, Doron; Stein, Mark A. (1 September 2021). "The World Federation of ADHD International Consensus Statement: 208 Evidence-based conclusions about the disorder". Neuroscience & Biobehavioral Reviews. 128: 789–818. doi:10.1016/j.neubiorev.2021.01.022. ISSN 0149-7634. PMC 8328933. PMID 33549739.
I would add Economic impacts as a subsection of Signs and symptoms for now, and extract more from that source than just the worldwide economic impact. There is much relevant information on the financial burdens experienced at the national, individual and family levels across several nations in the 11. What is the economic burden of ADHD? section of the paper to warrant two- or three-paragraph subsection, no tagging required. Xan747 (talk) 16:52, 9 October 2025 (UTC)[reply]


Requested move 22 October 2025

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The following is a closed discussion of a requested move. Please do not modify it. Subsequent comments should be made in a new section on the talk page. Editors desiring to contest the closing decision should consider a move review after discussing it on the closer's talk page. No further edits should be made to this discussion.

The result of the move request was: not moved. WP:SNOW closure, per the last two RMs and WP:MEDTITLE. (non-admin closure) --pro-anti-air ––>(talk)<–– 20:18, 23 October 2025 (UTC)[reply]

Attention deficit hyperactivity disorder → ADHDADHD – WP:NCA/WP:UCRN 🐟 Harringstars 🐟 05:48, 22 October 2025 (UTC)[reply]

  • Support as proposer.
🐟 Harringstars 🐟 05:50, 22 October 2025 (UTC)[reply]
Support per nom. Thanks, Glasspalace (talk | contribs) 07:25, 22 October 2025 (UTC)[reply]
Upon further consideration, I also oppose per MEDTITLE. Thanks, Glasspalace (talk | contribs) 14:07, 22 October 2025 (UTC)[reply]
Oppose per both WP:MEDTITLE and the other two RM discussions about this. Neo Purgatorio (pester!) 12:18, 22 October 2025 (UTC)[reply]
Comment I highly suggest reviewing the previous move requests linked at the top. WP:MEDTITLE applies. – The Grid (talk) 12:56, 22 October 2025 (UTC)[reply]
Oppose per WP:MEDTITLE and previous discussions MossOnALogTalk 14:53, 22 October 2025 (UTC)[reply]
Oppose per MEDTITLE, NCA, UCRN, and objections raised at last two RMs. Both the full and abbreviated name are recognizable to someone familiar with, although not necessarily an expert in the disorder. —Myceteae‍🍄‍🟫‍(talk) 19:38, 22 October 2025 (UTC)[reply]
The discussion above is closed. Please do not modify it. Subsequent comments should be made on the appropriate discussion page. No further edits should be made to this discussion.
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