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World J Psychiatry. Apr 19, 2025; 15(4): 101952
Published online Apr 19, 2025. doi: 10.5498/wjp.v15.i4.101952
Gender identity and its impact on attention deficit hyperactivity disorder manifestations: Challenges in diagnosis and assessment
Hao-Lin Song, Jian-Da Kong, Qing-Lu Wang, Cai-Xia Zhou
Hao-Lin Song, Qing-Lu Wang, Cai-Xia Zhou, College of Graduate Education, Shandong Sport University, Jinan 250000, Shandong Province, China
Hao-Lin Song, School of Management, Sun Yat-sen University, Zhongshan 528400, Guangdong Province, China
Jian-Da Kong, College of Sports Science, Qufu Normal University, Jining 273100, Shandong Province, China
Jian-Da Kong, College of Sport and Health, Shandong Sport University, Jinan 250000, Shandong Province, China
Co-corresponding authors: Jian-Da Kong and Cai-Xia Zhou.
Author contributions: Song HL wrote the main text; Wang QL handled proofreading and provided funding support; Zhou CX was responsible for content proofreading and the final version decision; Kong JD was responsible for topic design, manuscript proofreading, and the final version decision. Kong JD and Zhou CX are co corresponding authors and have made equal contributions to the manuscript.
Supported by the Central Guiding Local Science and Technology Development Fund Project, No. YDZX2022091.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Cai-Xia Zhou, PhD, College of Graduate Education, Shandong Sport University, No. 10600 Century Avenue, Licheng District, Jinan 250000, Shandong Province, China. zhoucaixia@sdpei.edu.cn
Received: October 2, 2024
Revised: January 12, 2025
Accepted: February 14, 2025
Published online: April 19, 2025
Processing time: 173 Days and 21 Hours
Core Tip

Core Tip: This review explores the impact of gender identity on the presentation of attention deficit hyperactivity disorder (ADHD). The article highlights that gender identity plays a significant role in ADHD symptom expression, diagnostic assessment, and treatment response. Research shows notable differences between male- and female-identifying individuals in task orientation and attention stability, with clinical practice often overlooking the influence of gender identity on ADHD management. The review calls for future research to further investigate how gender identity affects the specific mechanisms of ADHD, especially through long-term studies in multicultural contexts. Additionally, it advocates for increased funding and public education to support personalized and equitable ADHD treatment.