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Decreased attention span, hyperactivity, distractibility, and impulsivity are sensitive but non-specific brain functions and behavioral patterns. These expressions of altered functioning should be acknowledged as non-specific, rather than trying to fit them into existing diagnoses. These abnormalities should be viewed in terms of underlying developmental processes and not as components of discrete non-overlapping disorders. The tendency to squeeze a group of symptoms into a diagnostic entity has the potential to lead to a non-accurate diagnosis, a less than successful treatment plan, and has the potential to be of little prognostic value (Berger and Nevo, 2011). The developmental approach can provide predictions as to how characteristics associated with attention change over time, and how multiple risk and protective factors influence these temporal changes. It also has the potential to more readily anticipate associated co-morbid features and disorders (Berger and Nevo, 2011; Visser et al., 2014). Attention Deficit Hyperactivity Disorder (ADHD) seems to be considerably more common than other diagnoses among “double-diagnoses” given to children with developmental dysfunctions. Yet the exact prevalence, neurobiological mechanisms, genetic and epigenetic modifications, diagnostic difficulties and treatment methods have not been clearly identified or quantified. During the last years, the number of publications in this field has grown substantially, but, in part, due to the wide range of interested professionals, these studies have been published in a wide range of journals, sometimes missing some of their “target” populations.

Brain development and the attention spectrum