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Psychiatr Prax. 2012 Oct;39(7):345-8. doi: 10.1055/s-0032-1305193. Epub 2012 Oct 8.

[Impact of gender on the utilization of outpatient health service for adult ADHD].

[Article in German]

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IGPuP - Neurozentrum, Universitätsklinikum des Saarlandes, Homburg/Saar.



There is only scarce knowledge of gender differences in adult ADHD. Thus, we studied a large population of adults referred to a specialized ambulance for adult ADHD for possible gender differences regarding age, ADHD core and associated psychopathology, severity of symptoms and subjective burden from the disorder.


We analyzed data from 776 adult patients, who had been referred to a specialized ambulance for ADHD. 275 male and 236 female patients were diagnosed with ADHD. Standardized self-rating and expert-rating instruments of the Homburg ADHD Scales for adults (HASE) were used for diagnosis and assessment.


Male and female patients did not differ significantly regarding their prevalence of admittance, age at diagnosis of ADHD, ADHD subtype according to DSM-IV, symptom severity and subjective burden from the disorder.


More female than male patients as could be expected from epidemiological data were referred to the ambulance suggesting that males with ADHD are less disposed for psychiatric support. No major differences regarding clinical aspects of ADHD have to be considered between male and female patients, except a higher prevalence of symptoms of emotional dysregulation, which are more prominent in female patients.

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