This study examined possible gender differences in children and adults
with attention-deficit/hyperactivity disorder. Results indicated that
adult self-ratings differed significantly by gender. Adult women repo
rted fewer assets and more problems than did male counterparts, but th
ere was no gender difference with respect to age at referral, intellig
ence quotient, indicators of neuropsychological performance, or parent
or teacher ratings of behavior. Referral bias against girls is a poss
ible reason for previously reported gender differences, so we interpre
ted our results in light of the participants' referral patterns. There
was a nonsignificant trend for girls with relatively more severe rati
ngs of hyperactivity, conduct disorder, or inattention to be referred
earlier than were boys. Overall, our results suggest no evidence of co
gnitive or neuropsychological differences by gender in samples that ar
e sensitive to behavioral deviance in girls las evidenced by early ref
erral), but adult women's self-perception is comparatively poorer than
that of adult men.