Attention-Deficit/Hyperactivity Disorder in Childhood Is Associated with Cognitive Test Profiles in the Geriatric Population but Not with Mild Cognitive Impairment or Alzheimer's Disease

The frequency of ADHD in the aging population and its relationship to late-life cognitive decline has not been studied previously. To address this gap in our understanding, the Wender-Utah ADHD Rating scale (WURS) was administered to 310 geriatric subjects with cognitive status ranging from normal c...

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Main Authors: N. Ivanchak, E. L. Abner, S. A. Carr, S. J. Freeman, A. Seybert, J. Ranseen, G. A. Jicha
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.4061/2011/729801
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spelling doaj-159d4888b0414a02b6ec11d8217f62fb2020-11-25T01:06:35ZengHindawi LimitedJournal of Aging Research2090-22122011-01-01201110.4061/2011/729801729801Attention-Deficit/Hyperactivity Disorder in Childhood Is Associated with Cognitive Test Profiles in the Geriatric Population but Not with Mild Cognitive Impairment or Alzheimer's DiseaseN. Ivanchak0E. L. Abner1S. A. Carr2S. J. Freeman3A. Seybert4J. Ranseen5G. A. Jicha6Sanders-Brown Center on Aging and the University of Kentucky Alzheimer's Disease Center, University of Kentucky College of Medicine, Lexington, KY 40536, USASanders-Brown Center on Aging and the University of Kentucky Alzheimer's Disease Center, University of Kentucky College of Medicine, Lexington, KY 40536, USASanders-Brown Center on Aging and the University of Kentucky Alzheimer's Disease Center, University of Kentucky College of Medicine, Lexington, KY 40536, USASanders-Brown Center on Aging and the University of Kentucky Alzheimer's Disease Center, University of Kentucky College of Medicine, Lexington, KY 40536, USASanders-Brown Center on Aging and the University of Kentucky Alzheimer's Disease Center, University of Kentucky College of Medicine, Lexington, KY 40536, USADepartment of Psychiatry, University of Kentucky College of Medicine, Lexington, KY 40509, USASanders-Brown Center on Aging and the University of Kentucky Alzheimer's Disease Center, University of Kentucky College of Medicine, Lexington, KY 40536, USAThe frequency of ADHD in the aging population and its relationship to late-life cognitive decline has not been studied previously. To address this gap in our understanding, the Wender-Utah ADHD Rating scale (WURS) was administered to 310 geriatric subjects with cognitive status ranging from normal cognition to mild cognitive impairment to overt dementia. The frequency of WURS-positive ADHD in this sample was 4.4%. WURS scores were not related to cognitive diagnoses, but did show nonlinear associations with tasks requiring sustained attention. The frequency of ADHD appears stable across generations and does not appear to be associated with MCI or dementia diagnoses. The association of attentional processing deficits and WURS scores in geriatric subjects could suggest that such traits remain stable throughout life. Caution should be considered when interpreting cognitive test profiles in the aging population that exhibit signs and symptoms of ADHD, as attentional deficits may not necessarily imply the existence of an underlying neurodegenerative disease state.http://dx.doi.org/10.4061/2011/729801
collection DOAJ
language English
format Article
sources DOAJ
author N. Ivanchak
E. L. Abner
S. A. Carr
S. J. Freeman
A. Seybert
J. Ranseen
G. A. Jicha
spellingShingle N. Ivanchak
E. L. Abner
S. A. Carr
S. J. Freeman
A. Seybert
J. Ranseen
G. A. Jicha
Attention-Deficit/Hyperactivity Disorder in Childhood Is Associated with Cognitive Test Profiles in the Geriatric Population but Not with Mild Cognitive Impairment or Alzheimer's Disease
Journal of Aging Research
author_facet N. Ivanchak
E. L. Abner
S. A. Carr
S. J. Freeman
A. Seybert
J. Ranseen
G. A. Jicha
author_sort N. Ivanchak
title Attention-Deficit/Hyperactivity Disorder in Childhood Is Associated with Cognitive Test Profiles in the Geriatric Population but Not with Mild Cognitive Impairment or Alzheimer's Disease
title_short Attention-Deficit/Hyperactivity Disorder in Childhood Is Associated with Cognitive Test Profiles in the Geriatric Population but Not with Mild Cognitive Impairment or Alzheimer's Disease
title_full Attention-Deficit/Hyperactivity Disorder in Childhood Is Associated with Cognitive Test Profiles in the Geriatric Population but Not with Mild Cognitive Impairment or Alzheimer's Disease
title_fullStr Attention-Deficit/Hyperactivity Disorder in Childhood Is Associated with Cognitive Test Profiles in the Geriatric Population but Not with Mild Cognitive Impairment or Alzheimer's Disease
title_full_unstemmed Attention-Deficit/Hyperactivity Disorder in Childhood Is Associated with Cognitive Test Profiles in the Geriatric Population but Not with Mild Cognitive Impairment or Alzheimer's Disease
title_sort attention-deficit/hyperactivity disorder in childhood is associated with cognitive test profiles in the geriatric population but not with mild cognitive impairment or alzheimer's disease
publisher Hindawi Limited
series Journal of Aging Research
issn 2090-2212
publishDate 2011-01-01
description The frequency of ADHD in the aging population and its relationship to late-life cognitive decline has not been studied previously. To address this gap in our understanding, the Wender-Utah ADHD Rating scale (WURS) was administered to 310 geriatric subjects with cognitive status ranging from normal cognition to mild cognitive impairment to overt dementia. The frequency of WURS-positive ADHD in this sample was 4.4%. WURS scores were not related to cognitive diagnoses, but did show nonlinear associations with tasks requiring sustained attention. The frequency of ADHD appears stable across generations and does not appear to be associated with MCI or dementia diagnoses. The association of attentional processing deficits and WURS scores in geriatric subjects could suggest that such traits remain stable throughout life. Caution should be considered when interpreting cognitive test profiles in the aging population that exhibit signs and symptoms of ADHD, as attentional deficits may not necessarily imply the existence of an underlying neurodegenerative disease state.
url http://dx.doi.org/10.4061/2011/729801
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