Comment: Honing physical prowess in a sedentary society – a 21st-century challenge?
Nikos Myttas
pp 3-3
Physical prowess in a world bedevilled by sedentary life (unless one counts as physical exercise driving, pressing buttons on a remote control or pushing one’s dinner plate away saying, ‘I have had enough’) remains a biologically determined area of contest where young people – especially boys –measure themselves against one another from a very young age.
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Developmental co-ordination disorder in childhood ADHD
Ellen A Fliers
pp 4-6
Children with attention deficit hyperactivity disorder (ADHD) are, by definition, excessively active, and also have problems concentrating and controlling their impulses. They may additionally present with motor clumsiness. This review gives an update on the combination of motor problems and ADHD – a co-morbidity that has been recognised for quite some time.
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Towards a dimensional approach: screening and diagnosing subclinical groups
Andrea Kóbor, Ádám Takács and Valéria Csépe
pp 7-9
Recent research into attention deficit hyperactivity disorder (ADHD) raises many questions, one of which is: how do we define the subtypes and subthreshold groups of the condition? ADHD is too complex and heterogeneous a condition to assign all cases to two categories (‘ADHD’ or ‘non-ADHD’). However, no useful splitting is possible for all assumed subtypes of similar (but not identical) character, for either clinical practice or taxonomic research.
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Managing arousal and aggression in ADHD
Sachin Sankar and Katie Miller
pp 10-13
On 6 August 2011, London’s usually calm atmosphere was disturbed by gangs of youths attacking shops. By the next day, this had spread to cities and towns across the country and was immortalised in the Daily Mirror headline ‘Tottenham riot leaves London burning’. How do we deal with such aggression, and how do we explain it? First, we need to understand what aggression is, what its role is, and the different forms it takes. This article looks at the causes, types and management of aggression in the acute environment.
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Treating ADHD in a child with insulin-dependent diabetes mellitus
Fiona E Padgett and Sharafat Hussain
pp 14-15
We report the case of a child with insulin-dependent diabetes mellitus and attention deficit hyperactivity disorder (ADHD), and the challenges in managing his ADHD.
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ADHD-Europe
pp 16-16
In 2005, 19 inspired delegates representing ADHD patient organisations from eight European countries met in Brussels to discuss the possibility of uniting under a pan-European umbrella. Unofficially, this marked the birth of ADHD-Europe as an organisation advocating for the rights of people with ADHD at a European level.
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Symptom assessment and expectations from drug therapy: doctors versus parents
Helmut Niederhofer, Ulrike Ancker, Gerhard Broer, Norma Dehne, Dirk Drexler, Salih Filiz, Izzet T Kahraman, Uwe Koenemann-Nunold, Christoph Kretzschmar, Nicolaus Lingens, Marcelo Mora-Marfetan, Mani Sina and Beate Mueller
pp 17-19
Attention deficit hyperactivity disorder (ADHD) is one of the most contentious and topical issues in medical research. The aetiology and pathophysiology of ADHD are mostly unclear. Diagnostic criteria are still under debate, and the two different sets of guidance (including the WHO’s International Statistical Classification of Diseases and Related Health Problems and the latest edition of the Diagnostic and Statistical Manual of Mental Disorders) differ in their definition of ADHD. Nevertheless, like obsessive-compulsive disorder and developmental disorders, ADHD is one of the most commonly treated neurobehavioural disorders in children.
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Dose titration in ADHD: the view from Spain
José A Alda, Marta Ubiñana, Eduardo Serrano, Adriana Fuste and Jon Izaguirre
pp 20-23
The majority of the guidelines available for attention deficit hyperactivity disorder (ADHD) in Spain came from the Anglo-Saxon literature and did not adapt very well to the reality of our social and healthcare environment. There was no agreement as to which instruments should be used to assess children with possible ADHD. There was also controversy around the criteria to be used to diagnose it.
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