European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD

被引：612

作者：

Kooij, Sandra J. J. ^{[1
]}

Bejerot, Susanne ^{[2
]}

Blackwell, Andrew ^{[3
]}

Caci, Herve ^{[4
]}

Casas-Brugue, Miquel ^{[5
]}

Carpentier, Pieter J. ^{[6
]}

Edvinsson, Dan ^{[7
]}

Fayyad, John ^{[8
]}

Foeken, Karin ^{[9
]}

Fitzgerald, Michael ^{[10
]}

Gaillac, Veronique ^{[11
]}

Ginsberg, Ylva ^{[12
]}

Henry, Chantal ^{[13
]}

Krause, Johanna ^{[14
]}

Lensing, Michael B. ^{[15
]}

Manor, Iris ^{[16
]}

Niederhofer, Helmut ^{[17
]}

Nunes-Filipe, Carlos ^{[18
]}

Ohlmeier, Martin D. ^{[19
]}

Oswald, Pierre ^{[20
]}

Pallanti, Stefano ^{[21
]}

Pehlivanidis, Artemios ^{[22
]}

Ramos-Quiroga, Josep A. ^{[23
]}

Rastam, Maria ^{[24
]}

Ryffel-Rawak, Doris

Stes, Steven ^{[25
]}

Asherson, Philip ^{[26
]}

机构：

[1] Dept Adult ADHD, Psycho Med Programmas, PsyQ, The Hague, Netherlands

[2] Karolinska Inst, Sect Psychiat, Dept Clin Neurosci, Stockholm, Sweden

[3] Addenbrookes Hosp, Univ Dept Psychiat, Cambridge, England

[4] CHU Lenval, Hop Pediat, Dept Pediat, F-06200 Nice, France

[5] Univ Autonoma Barcelona, Hosp Univ Vall Hebron, Serv Psiquiatria, E-08193 Barcelona, Spain

[6] Reinier van Arkel Grp, NL-5201 DZ Shertogenbosch, Netherlands

[7] Dept Neurosci Psychiat Ulleraker, S-75017 Uppsala, Sweden

[8] Balamand Univ, St George Hosp Univ Med Ctr, Dept Psychiat & Clin Psychol, IDRAAC, Beirut, Lebanon

[9] Inst A Tzanck, Ctr Consultat, Mougins, France

[10] Univ Dublin Trinity Coll, Dept Psychiat, Dublin 2, Ireland

[11] St Anne Hosp Paris, CMME, Paris, France

[12] Affekt Mottagningen, S-14186 Stockholm, Sweden

[13] CH Charles Perrens, Unite Lescure, Dept Psychiat Adulte, Bordeaux, France

[14] Private Clin Psychiat & Psychotherapy, Ottobrunn, Germany

[15] Oslo Univ Hosp, Dept Child Neurol, Oslo, Norway

[16] Tel Aviv Univ, Sackler Fac Med, Geha Mental Hlth Ctr, Petah Tiqwa, Israel

[17] Reg Hosp Bolzano, Dept Child Psychiat, Bolzano, Italy

[18] Univ Nova Lisboa, Fac Med Sci, P-1169056 Lisbon, Portugal

[19] Hannover Med Sch, Dept Psychiat Social Psychiat & Psychotherapy, Hannover, Germany

[20] Univ Libre Bruxelles, Hop Univ Brugmann, Dept Psychiat, Brussels, Belgium

[21] Univ Florence, Dept Neurosci, Florence, Italy

[22] Natl & Kapodistrian Univ Athens, Sch Med, Eginit Hosp, Dept Psychiat, Athens 11528, Greece

[23] Hosp Univ Vall dHebron, Serv Psiquiatria, PIDAA, Barcelona, Spain

[24] Lund Univ, Dept Clin Sci, S-22100 Lund, Sweden

[25] Katholieke Univ Leuven, Univ Psychiat Ctr, ADHD Program, Kortenberg, Belgium

[26] Kings Coll London, Inst Psychiat, MRC Social Genet & Dev Psychiat, London WC2R 2LS, England

来源：

BMC PSYCHIATRY | 2010年 / 10卷

关键词：

DEFICIT-HYPERACTIVITY-DISORDER; ATTENTION-DEFICIT/HYPERACTIVITY-DISORDER; SUBSTANCE USE DISORDERS; AGE-DEPENDENT DECLINE; OF-ONSET CRITERION; BORDERLINE PERSONALITY-DISORDER; STRIATAL DOPAMINE TRANSPORTER; COGNITIVE-BEHAVIORAL THERAPY; FOLLOW-UP; EXTENDED-RELEASE;

D O I：

10.1186/1471-244X-10-67

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: Attention deficit hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that persists into adulthood in the majority of cases. The evidence on persistence poses several difficulties for adult psychiatry considering the lack of expertise for diagnostic assessment, limited treatment options and patient facilities across Europe. Methods: The European Network Adult ADHD, founded in 2003, aims to increase awareness of this disorder and improve knowledge and patient care for adults with ADHD across Europe. This Consensus Statement is one of the actions taken by the European Network Adult ADHD in order to support the clinician with research evidence and clinical experience from 18 European countries in which ADHD in adults is recognised and treated. Results: Besides information on the genetics and neurobiology of ADHD, three major questions are addressed in this statement: (1) What is the clinical picture of ADHD in adults? (2) How can ADHD in adults be properly diagnosed? (3) How should ADHD in adults be effectively treated? Conclusions: ADHD often presents as an impairing lifelong condition in adults, yet it is currently underdiagnosed and treated in many European countries, leading to ineffective treatment and higher costs of illness. Expertise in diagnostic assessment and treatment of ADHD in adults must increase in psychiatry. Instruments for screening and diagnosis of ADHD in adults are available and appropriate treatments exist, although more research is needed in this age group.

引用

页数：24

共 314 条

[1] Functional and psychosocial impairment in adults with undiagnosed ADHD [J].

Able, Stephen L. ;

Johnston, Joseph A. ;

Adler, Lenard A. ;

Swindle, Ralph W. .

PSYCHOLOGICAL MEDICINE, 2007, 37 (01) :97-107

[2]

Adler Lenard A, 2009, J Clin Psychiatry, V70, pe12

[3] Long-Term Effectiveness and Safety of Dexmethylphenidate Extended-Release Capsules in Adult ADHD [J].

Adler, Lenard A. ;

Spencer, Thomas ;

McGough, James J. ;

Jiang, Hai ;

Muniz, Rafael .

JOURNAL OF ATTENTION DISORDERS, 2009, 12 (05) :449-459

[4] ATOMOXETINE TREATMENT IN ADULTS WITH ATTENTION-DEFICIT/HYPERACTIVITY DISORDER AND COMORBID SOCIAL ANXIETY DISORDER [J].

Adler, Lenard A. ;

Liebowitz, Michael ;

Kronenberger, Williain ;

Qiao, Meihua ;

Rubin, Richard ;

Hollandbeck, Millie ;

Deldar, Ahmed ;

Schuh, Kory ;

Durell, Todd .

DEPRESSION AND ANXIETY, 2009, 26 (03) :212-221

[5] Once-Daily Atomoxetine for Adult Attention-Deficit/Hyperactivity Disorder A 6-Month, Double-Blind Trial [J].

Adler, Lenard A. ;

Spencer, Thomas ;

Brown, Thomas E. ;

Holdnack, James ;

Saylor, Keith ;

Schuh, Kory ;

Trzepacz, Paula T. ;

Williams, David W. ;

Kelsey, Douglas .

JOURNAL OF CLINICAL PSYCHOPHARMACOLOGY, 2009, 29 (01) :44-50

[6] Combination pharmacotherapy for adult ADHD [J].

Adler L.A. ;

Reingold L.S. ;

Morrill M.S. ;

Wilens T.E. .

Current Psychiatry Reports, 2006, 8 (5) :409-415

[7]

AIM B, 2006, NERVENHEILKUNDE Z IN, V25, P459

[8] Attention deficit hyperactivity disorder in childhood among adults with major depression [J].

Alpert, JE ;

Maddocks, A ;

Nierenberg, AA ;

OSullivan, R ;

Pava, JA ;

Worthington, JJ ;

Biederman, J ;

Rosenbaum, JF ;

Fava, M .

PSYCHIATRY RESEARCH, 1996, 62 (03) :213-219

[9]

Aman MG, 2005, ARCH GEN PSYCHIAT, V62, P1266

[10] Preliminary evidence differentiating ADHD using brain SPECT imaging in older patients [J].

Amen, Daniel G. ;

Hanks, Chris ;

Prunella, Jill .

JOURNAL OF PSYCHOACTIVE DRUGS, 2008, 40 (02) :139-146

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