Updated European Consensus Statement on diagnosis and treatment of adult ADHD
Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, d...
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| Vydáno v: | European psychiatry Ročník 56; číslo 1; s. 14 - 34 |
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| Hlavní autoři: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
England
Elsevier Masson SAS
01.02.2019
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| Témata: | |
| ISSN: | 0924-9338, 1778-3585, 1778-3585 |
| On-line přístup: | Získat plný text |
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| Abstract | Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness.
Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated.
Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated?
Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD. |
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| AbstractList | Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness. Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated. Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated? Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD.Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness. Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated. Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated? Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD. Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness. Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated. Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated? Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD. Background : Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness. Methods : The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated. Results : Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated? Conclusions : ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD. Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness. Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated. Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated? Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD. |
| Author | Stes, S. Carpentier, P.J. Casas, M. Nunes Filipe, C. Manor, I. Pehlivanidis, A. McNicholas, F. Bitter, I. Philipsen, A. Lehtonen, T. Foeken, K. Brudkiewicz, P. Lensing, M. Oswald, P. Balázs, J. Thome, J. Bolea-Alamanac, B. De Rossi, P. Müller-Sedgwick, U. Félegyházy, Z. Kooij, J.J.S. Bobes, J. Richarte, V. Young, S. Baeyens, D. Niemela, A. Gill, M. Semerci, B. Ginsberg, Y. Hirvikoski, T. Caci, H. Garcia-Portilla, M.P. Rad, F. Krause, J. Mihailescu, I. Delorme, R. Styr, B. Ohlmeier, M. Saito, T. Salerno, L. Jaeschke, R. Markovska Simoska, S. Bijlenga, D. Edvinsson, D. Adamou, M. Kjems Philipsen, A. Kasper, S. Fayyad, J. Wynchank, D. Tani, P. Ramos-Quiroga, J.A. Motavalli Mukaddes, N. Bejerot, S. Fitzgerald, M. Asherson, P. Gustafsson, P. Leppämäki, S. Pallanti, S. Sobanski, E. Pironti, V. Mccarthy, J.M. Dom, G. Kustow, J. Dobrescu, I. Mohr, P. |
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Universidade NOVA Lisboa, Lisboa, Portugal – sequence: 11 givenname: S. surname: Stes fullname: Stes, S. organization: University Psychiatric Center, KU Leuven, Kortenberg, Belgium – sequence: 12 givenname: P. orcidid: 0000-0002-9851-3271 surname: Mohr fullname: Mohr, P. organization: National Institute of Mental Health, Klecany, Czech Republic; Third Faculty of Medicine, Charles University Prague, Czech Republic – sequence: 13 givenname: S. surname: Leppämäki fullname: Leppämäki, S. organization: Helsinki University Central Hospital, Department of Psychiatry, HUS, Finland – sequence: 14 givenname: M. surname: Casas fullname: Casas, M. organization: Department of Psychiatry, Hospital Universitari Vall d’Hebron, Barcelona, Catalonia, Spain; Psychiatric Genetics Unit, Vall d’Hebron Research Institute (VHIR), Barcelona, Catalonia, Spain; Biomedical Network Research Centre on Mental Health (CIBERSAM), Barcelona, Catalonia, Spain; Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain – sequence: 15 givenname: J. orcidid: 0000-0003-2187-4033 surname: Bobes fullname: Bobes, J. organization: Department of Psychiatry, School of Medicine, University of Oviedo - Centro de Investigación Biomédica and Red de Salud Mental, CIBERSAM, Oviedo, Spain – sequence: 16 givenname: J.M. surname: Mccarthy fullname: Mccarthy, J.M. organization: Visiting senior lecturer, King’s College London, United Kingdom; Midland Regional Forensic Service, Hamilton, New Zealand – sequence: 17 givenname: V. surname: Richarte fullname: Richarte, V. organization: Department of Psychiatry, Hospital Universitari Vall d’Hebron, Barcelona; Biomedical Network Research Centre on Mental Health (CIBERSAM), Barcelona; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain – sequence: 18 givenname: A. surname: Kjems Philipsen fullname: Kjems Philipsen, A. organization: DPC Naestved, Ladby, Naestved, Region Sjaelland, Denmark – sequence: 19 givenname: A. orcidid: 0000-0002-3328-6258 surname: Pehlivanidis fullname: Pehlivanidis, A. organization: National and Kapodistrian University of Athens Medical School, Eginition Hospital, Department of Psychiatry, Athens, Greece – sequence: 20 givenname: A. surname: Niemela fullname: Niemela, A. organization: Wellmind Terveys Oy, Oulu, Finland – sequence: 21 givenname: B. surname: Styr fullname: Styr, B. organization: Mccabi Health Services (H.M.O), Tel Aviv, Israel – sequence: 22 givenname: B. surname: Semerci fullname: Semerci, B. organization: Hasan Kalyoncu University, Poyracık Sokak. 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Of Psychiatry, University of Toronto, Toronto, Canada – sequence: 24 givenname: D. surname: Edvinsson fullname: Edvinsson, D. organization: Uppsala University, Uppsala University Hospital, Akademiska sjukhuset, Uppsala, Stockholm – sequence: 25 givenname: D. surname: Baeyens fullname: Baeyens, D. organization: Parenting and Special Education, KU Leuven, Leuven, Belgium – sequence: 26 givenname: D. surname: Wynchank fullname: Wynchank, D. organization: PsyQ Psycho-Medical Programs, Expertise Center Adult ADHD, Carel Reinierszkade 197, 2593 HR, The Hague, The Netherlands – sequence: 27 givenname: E. surname: Sobanski fullname: Sobanski, E. organization: Central Institute of Mental Health, Mannheim; University Medical Center Mainz, Mainz, Germany – sequence: 28 givenname: A. surname: Philipsen fullname: Philipsen, A. organization: University of Bonn, Department of Psychiatry and Psychotherapy, Bonn, Germany – sequence: 29 givenname: F. surname: McNicholas fullname: McNicholas, F. organization: University College Dublin, Dublin, Republic of Ireland – sequence: 30 givenname: H. surname: Caci fullname: Caci, H. organization: Hopitaux Pediatriques de Nice CHU Lenval, Nice, France – sequence: 31 givenname: I. surname: Mihailescu fullname: Mihailescu, I. organization: Alexandru Obregia Clinical Hospital of Psychiatry, Bucharest , Romania – sequence: 32 givenname: I. surname: Manor fullname: Manor, I. organization: Geha MHC, Petach-Tikva, Israel – sequence: 33 givenname: I. surname: Dobrescu fullname: Dobrescu, I. organization: University of Medicine and Pharmacy “Carol Davila”. 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Barnet Adult ADHD Service, Springwell Centre, Barnet Hospital, Barnet, England – sequence: 59 givenname: U. surname: Müller-Sedgwick fullname: Müller-Sedgwick, U. organization: Adult ADHD Service, Barnet, Enfield & Haringey NHS Mental Health Trust, North London & Department of Psychiatry, University of Cambridge; Adult ADHD Service, Springwell Centre / Barnet Hospital, Barnet, London, England – sequence: 60 givenname: T. orcidid: 0000-0003-1824-3003 surname: Hirvikoski fullname: Hirvikoski, T. organization: Center for Neurodevelopmental Disorders at Karolinska Institutet (KIND), CAP Research Center, Stockholm, Sweden – sequence: 61 givenname: V. surname: Pironti fullname: Pironti, V. organization: Cambridge Adult ADHD & ASD Clinic, Cambridge, England – sequence: 62 givenname: Y. surname: Ginsberg fullname: Ginsberg, Y. organization: Stockholm Center for Eating Disorder R&D Unit, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden – sequence: 63 givenname: Z. surname: Félegyházy fullname: Félegyházy, Z. organization: ADHD Központ(center) Budapest, Budapest, Hungary – sequence: 64 givenname: M.P. surname: Garcia-Portilla fullname: Garcia-Portilla, M.P. organization: Dept. of Psychiatry, University of Oviedo, School of Medicine, Psychiatry, Oviedo, Spain – sequence: 65 givenname: P. orcidid: 0000-0003-2667-2254 surname: Asherson fullname: Asherson, P. organization: SGDP Building, Institute of Psychiatry Psychology and Neuroscience, Kings' College London, London, England |
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| Snippet | Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and... Background : Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and... Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and... |
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| SourceType | Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 14 |
| SubjectTerms | Adult Adult ADHD Attention Deficit Disorder with Hyperactivity - diagnosis Attention Deficit Disorder with Hyperactivity - therapy Central Nervous System Stimulants - therapeutic use Clinical Medicine Consensus Diagnosis EPA Europe European Network Adult ADHD Female Health Services Accessibility - standards Humans Klinisk medicin Male Medical and Health Sciences Medicin och hälsovetenskap Practice Guidelines as Topic - standards Prevalence Psychiatry Psychotherapy - methods Psykiatri Treatment Updated European Consensus Statement |
| Title | Updated European Consensus Statement on diagnosis and treatment of adult ADHD |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S0924933818301962 https://dx.doi.org/10.1016/j.eurpsy.2018.11.001 https://www.ncbi.nlm.nih.gov/pubmed/30453134 https://www.proquest.com/docview/2136061789 https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-72763 https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-378194 http://kipublications.ki.se/Default.aspx?queryparsed=id:140273548 |
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