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Attention deficits and hyperactivity–impulsivity: What have we learned, what next?

Published online by Cambridge University Press:  17 December 2013

Joel T. Nigg
Joel T. Nigg*
Affiliation:
Oregon Health and Science University
*
Address correspondence and reprint requests to: Joel T. Nigg, Department of Psychiatry, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098; E-mail: niggj@ohsu.edu.
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Abstract

The domains of self-regulation, self-control, executive function, inattention, and impulsivity cut across broad swathes of normal and abnormal development. Attention-deficit/hyperactivity disorder is a common syndrome that encompasses a portion of these domains. In the past 25 years research on attention-deficit/hyperactivity disorder has been characterized by dramatic advances in genetic, neural, and neuropsychological description of the syndrome as well as clarification of its multidimensional phenotypic structure. The limited clinical applicability of these research findings poses the primary challenge for the next generation. It is likely that clinical breakthroughs will require further refinement in describing heterogeneity or clinical/biological subgroups, renewed focus on the environment in the form of etiological events as well as psychosocial contexts of development, and integration of both with biological understanding.

Type
Regular Articles
Information
Development and Psychopathology , Volume 25 , Issue 4pt2: Development and Psychopathology: A Vision Realized , November 2013 , pp. 1489 - 1503
Copyright
Copyright © Cambridge University Press 2013 

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