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Guanfacine Eases Hyperactivity in Autism; Inflammation Theory Untested

MHD card showing a teal prefrontal dendrite with a magnified membrane of closed HCN channels and an amber microglia cell inside a dashed outline, illustrating that guanfacine eased hyperactivity in autistic children while its anti-inflammatory role remains untested.

Guanfacine, a non-stimulant ADHD medication, reduced hyperactivity in autistic children in a placebo-controlled trial. A 2026 review argues it may also steady prefrontal brain signaling and calm the brain’s immune cells, but that immune effect has never been tested with guanfacine itself.1 Research Highlights Hyperactivity fell in the largest autism trial: in 62 autistic children, …

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SDQ Had the Strongest Evidence Among Broad ADHD Rating Scales for Children

MHD card with a glowing amber clipboard holding a rating questionnaire with filled answer bubbles, over a faint grid of checkmarks and crosses on a dark background, illustrating a review of ADHD rating scales for children.

Among broad child behavior questionnaires used to screen for ADHD, the short hyperactivity-inattention subscale of the Strengths and Difficulties Questionnaire (SDQ) has the strongest measurement evidence, according to a 2026 review of 36 studies. None of the 12 scales reviewed met every quality standard.1 Research Highlights 36 studies, 12 scales: a systematic review in BMC …

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Adult ADHD Trials Often Skip Full Diagnostic Assessment

MHD featured image for adult ADHD randomized trials and diagnostic assessment quality.

A 2025 scoping review of 292 adult ADHD randomized controlled trials found that 49.7% allocated diagnosis without a general psychopathology assessment, and only 35% reported that psychiatrists or psychologists assigned the ADHD diagnosis. Research Highlights 292 adult ADHD RCTs were reviewed: Studart et al. screened 706 PubMed records and included 292 randomized controlled studies.1 49.7% …

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Bumetanide PROMset Study: 83% Improved in 1 Sensory-Related Domain

MHD featured image for bumetanide and sensory-related parent-reported outcomes in neurodevelopmental disorders.

A 2026 medRxiv preprint using parent-cocreated sensory-related outcome measures found that 83% of children and teens improved on at least 1 PROMIS domain during 6 months of bumetanide treatment.1 The result is interesting, but the unmasked single-case design means the strongest claim is about sensitive outcome tracking, not definitive bumetanide efficacy. Research Highlights Most participants …

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Autism vs. ADHD Connectome Study: Frontal-DMN Signal Tracks Autism Severity

MHD featured image for autism, ADHD, and connectome-based symptom mapping.

A 166-child resting-state fMRI study found that clinician-observed autism severity, not ADHD severity, tracked connectivity strength between a left middle frontal gyrus node and the posterior cingulate/default mode network across children diagnosed with autism or ADHD without autism. The result is transdiagnostic, but asymmetrical: autism traits carried the connectome signal after ADHD ratings were controlled.1 …

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Adult ADHD Linked to Lower SIRT-1/Nrf-2/HO-1 Antioxidant Defenses

MHD featured image for adult ADHD, SIRT-1, Nrf-2, HO-1, and antioxidant-defense biomarkers.

A 2026 case-control study found that treatment-naive adults with attention-deficit/hyperactivity disorder (ADHD) had much lower serum SIRT-1, Nrf-2, and HO-1 than matched controls, while TNF-α did not differ. The pattern points more toward impaired antioxidant-defense regulation than a simple broad-inflammation story. Research Highlights Antioxidant-defense markers were lower: adults with ADHD had lower SIRT-1 (9.36 vs. …

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