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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Veröffentlicht in:European psychiatry Jg. 56; H. 1; S. 14 - 34
Hauptverfasser: Kooij, J.J.S., Bijlenga, D., Salerno, L., Jaeschke, R., Bitter, I., Balázs, J., Thome, J., Dom, G., Kasper, S., Nunes Filipe, C., Stes, S., Mohr, P., Leppämäki, S., Casas, M., Bobes, J., Mccarthy, J.M., Richarte, V., Kjems Philipsen, A., Pehlivanidis, A., Niemela, A., Styr, B., Semerci, B., Bolea-Alamanac, B., Edvinsson, D., Baeyens, D., Wynchank, D., Sobanski, E., Philipsen, A., McNicholas, F., Caci, H., Mihailescu, I., Manor, I., Dobrescu, I., Saito, T., Krause, J., Fayyad, J., Ramos-Quiroga, J.A., Foeken, K., Rad, F., Adamou, M., Ohlmeier, M., Fitzgerald, M., Gill, M., Lensing, M., Motavalli Mukaddes, N., Brudkiewicz, P., Gustafsson, P., Tani, P., Oswald, P., Carpentier, P.J., De Rossi, P., Delorme, R., Markovska Simoska, S., Pallanti, S., Young, S., Bejerot, S., Lehtonen, T., Kustow, J., Müller-Sedgwick, U., Hirvikoski, T., Pironti, V., Ginsberg, Y., Félegyházy, Z., Garcia-Portilla, M.P., Asherson, P.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England Elsevier Masson SAS 01.02.2019
Schlagworte:
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
Europe
Updated European Consensus Statement
Adult ADHD
Treatment
Diagnosis
European Network Adult ADHD
EPA
ISSN:0924-9338, 1778-3585, 1778-3585
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Zusammenfassung: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.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0924-9338
1778-3585
1778-3585
DOI:10.1016/j.eurpsy.2018.11.001