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KMID : 0367320020130010129
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Journal of the Korean Academy of Child and Adolescent Psychiatry
2002 Volume.13 No. 1 p.129 ~ p.138
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PRELIMINARY STUDY FOR ADHD TREATMENT GUIDELINE
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Lee Young-Sik
Kim Eun-Young
Na Churl
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Abstract
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Objectives : In order to treatment guideline of ADHD, present clinical practise of child psychiatrists and their opinion of optimal intervention were evaluated.
Methods : Structured questionnaire items about diagnostic workup, drug choice of 5 different situations according to different co-morbid disorders, and non - pharmacological treatment were applied to 32 child psychiatrists working at university and general hospital. we compared the data with Texas Algorithm Project guideline.
Results : (1) Intelligence Test, Sentence Completion Test, sustained attention test, and Conner´s questionnaire were the basic routine test that must be performed. (2) Main trend of medication in this study was not different from TAP guideline. (3) In case of co-morbid tic disorder, first recommending drug is still psychostimulant in the TAP guideline. But in this study initial psychostimulant prescription was not main trend. (4) In case of MPH non-response co-morbid disruptive behavior disorder, MPH medication combined with other drug were more common than switching to other drug as suggested the TAP guidelines. (5) In non-pharmacological treatment, most child psychiatrists reported the importance of parent management.
Conclusion : There were some difference in medication trend in this study compared with TAP guideline. Further study and conference are needed for experts consensus in Korea.
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KEYWORD
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Texas Algorithm Project(TAP), Attention Deficit Hyperactivity Disorder(ADHD), Treatment Guideline, Texas Algorithm Project(TAP)
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