A Regional ADHD Center-Based Network Project for the Diagnosis and Treatment of Children and Adolescents With ADHD

被引：19

作者：

Bonati, Maurizio ^{[1
]}

Reale, Laura ^{[1
]}

Zanetti, Michele ^{[1
]}

Cartabia, Massimo ^{[1
]}

Fortinguerra, Filomena ^{[1
]}

Capovilla, Giuseppe ^{[2
]}

Chiappedi, Matteo ^{[3
]}

Costantino, Antonella ^{[4
]}

Effedri, Paola ^{[5
]}

Luoni, Chiara ^{[6
]}

Martinelli, Ottaviano ^{[7
]}

Molteni, Massimo ^{[8
]}

Ottolini, Alberto ^{[9
]}

Saccani, Monica ^{[10
]}

机构：

[1] IRCCS Ist Ric Farmacol Mario Negri, Lab Mother & Child Hlth, Milan, Italy

[2] Poma Hosp, Child Neuropsychiat Dept, Mantua, Italy

[3] Natl Neurol Inst C Mondino, Child Neurol & Psychiat Unit, Pavia, Italy

[4] Osped Maggiore Policlin, IRCCS Fdn Ca Granda, Child & Adolescent Neuropsychiat Unit, Milan, Italy

[5] Children Hosp, Child & Adolescent Neuropsychiat Unit, Brescia, Italy

[6] De Ponte Hosp, Macchi Fdn, Child & Adolescent Neuropsychiat Unit, Varese, Italy

[7] Manzoni Hosp, Child & Adolescent Neuropsychiat Unit, Lecce, Italy

[8] IRCCS Fdn Eugenio Medea, Child & Adolescent Neuropsychiat Unit, Bosisio Parini, LC, Italy

[9] Fatebenefratelli Hosp, Child & Adolescent Neuropsychiat Unit, Milan, Italy

[10] San Paolo Hosp, Child & Adolescent Neuropsychiat Unit, Milan, Italy

来源：

JOURNAL OF ATTENTION DISORDERS | 2018年 / 22卷 / 12期

关键词：

attention deficit disorder; child; adolescent; register; clinical protocol; mental health services; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; SCHOOL-AGE-CHILDREN; DEFICIT HYPERACTIVITY DISORDER; REVISED CONNERS PARENT; MENTAL-HEALTH; PSYCHIATRIC-DISORDERS; ITALIAN CHILDREN; PSYCHOTROPIC MEDICATIONS; WORLDWIDE PREVALENCE; SYMPTOMS;

D O I：

10.1177/1087054715599573

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Objective: We aimed to define the sociodemographic, clinical, and prescription profiles of the participants enrolled in the Italian Lombardy ADHD Register. Method: Data on patients evaluated by the 18 regional ADHD reference centers in the 2012 to 2013 period were analyzed. Results: Seven hundred fifty-three of 1,150 (65%) suspected patients received a diagnosis of ADHD. In 24% of cases, there was a family history of ADHD. Four hundred eighty-three (64%) patients had at least one psychopathological disorder, the more common of which were learning disorders (35%). Eighty-four percent of patients received a prescription for psychoeducational interventions, 2% received only pharmacological treatment, and 14% a combination of both. Compared with patients treated with psychoeducational intervention alone, patients with drug prescriptions more commonly presented values of Clinical Global Impressions - Severity scale (CGI-S) of 5 or higher (p < .0001). Conclusion: A continuous and systematic monitoring of patterns of care is essential in promoting significant improvements in clinical practice and ensuring an efficient and homogeneous quality of care.

引用

页码：1173 / 1184

页数：12

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