Genetic basis of attention deficit and hyperactivity

Abstract

BackgroundHyperkinetic disorder or attention-deficit hyperactivity disorder (ADHD) is an important clinical condition.AimsThe research evidence for a genetic contribution to ADHD is reviewed.MethodMeasurement of the phenotype, the extent to which attention deficit and hyperactivity are heritable and molecular genetic findings are discussed. Future research directions are also considered.ResultsADHD is a familial disorder. Available adoption evidence suggests genetic influences are important. Twin studies have primarily focused on trait measures which have consistently been found to be highly heritable. Molecular genetic studies of clinical disorder so far have suggested the involvement of the dopamine DRD-4 receptor gene and dopamine transporter gene (DATI). However, these findings await further replication.ConclusionsAdvances in psychiatric genetics and current research interest in the genetics of ADHD should improve our understanding of aetiological factors and have an impact on treatment.