Teenage Girls With ADHD Act Out
Study Portrays a Group Plagued by Depression, Anxiety, Substance Abuse
May 24, 2005 (Atlanta) -- Teenage girls with attention deficit hyperactivity
disorder (ADHD) are much more likely to act out, suffer depression, and smoke
than adolescents without the condition.
A new study -- which may offer the best snapshot to date of teenage girls
with ADHD -- portrays a group that is also plagued by anxiety, eating
disorders, and alcohol and drug abuse.
"As girls mature, there's a rise in mood and anxiety disorders,
disruptive behaviors, and substance-abuse problems," says researcher Joseph
Biederman, MD, professor of psychiatry at Harvard Medical School.
Boys and Girls Affected Equally
Though many doctors believe that boys with ADHD are much more likely to
develop these problems than girls, Biederman says his study shows that just
"The picture of ADHD is almost identical among the genders," he
says. Regardless of gender, it's advisable to screen kids with ADHD for other
Brad Reimherr, MD, associate professor of psychiatry at the University of
Utah, isn't surprised. He says his own study of adult sufferers of ADHD shows
that women are even more impaired than men.
"Both in terms of symptoms of hyperactivity and attention deficit itself
and also in terms of other emotional ailments, women were more likely to have
problems," Reimherr tells WebMD.
Part of the problem, he agrees, is that society thinks of ADHD as a male
disorder. Males act out more and tend to get more attention.
Females -- regardless of age -- are more apt to be misdiagnosed, typically
with anxiety or depression, he says. As a result, the condition often goes
untreated, even though studies show that women respond well to ADHD
medications, Reimherr says.
More Than 1 in 5 Act Out
The study, presented at the annual meeting of the American Psychiatric
Association, included 235 teenage girls, about half of whom had ADHD. Their
average age was 17.
About nine in 10 had received treatment for their disorder, usually a
combination of drugs and counseling, Biederman says.
On almost every measure, the ADHD sufferers fared worse than their
- More than 20% were disruptive vs. 3% of those without ADHD.
- More than one in three suffered major depression, compared with three in
100 of those without ADHD.
- 56% suffered anxiety vs. 19% of those without ADHD.
- 4% drank alcohol vs. 1% of those without ADHD.
- 12% used drugs compared with 4% of those without ADHD.
- Anorexia and bulimia each claimed about 5% of ADHD sufferers.
Particularly alarming, he says, is that 28% of the girls with ADHD smoked,
compared with 13% of the others.
"ADHD is a clear risk factor for smoking, and girls are affected as much
as boys," Biederman says.