KMID : 0367320200310010005
|
|
Journal of the Korean Academy of Child and Adolescent Psychiatry 2020 Volume.31 No. 1 p.5 ~ p.25
|
|
Development of the Korean Practice Parameter for Adult Attention-Deficit/Hyperactivity Disorder
|
|
Bahn Geon-Ho
Lee Young-Sik Yoo Han-Ik Kim Eui-Jung Park Su-Bin Han Doug-Hyun Hong Min-Ha Kim Bong-Seog Lee So-Young Irene Hong Jin-Pyo Joung Yoo-Sook
|
|
Abstract
|
|
|
Objectives: Adult attention-deficit/hyperactivity disorder (ADHD) is an important mental health problem that needs resolution, especially considering the high rates of ADHD continuation from childhood to adolescence/adulthood and the high prevalence of ADHD in adults. Adults with ADHD have lifelong negative impacts and require close monitoring with long-term follow-up. Hence, the establishment of a Korean practice parameter for adult ADHD is necessary to minimize discontinuation of treatment and enable information sharing among Korean mental health professionals.
Methods: The Korean practice parameter was developed using an evidence-based approach consisting of expert consensus survey coupled with literature review.
Results: According to the expert consensus survey, the most commonly used diagnostic methods were clinical psychiatric interview (20.66%) and self-report scales (19.25%) followed by attention (14.71%) and psychological tests (14.24%). Key evaluation instruments currently available in Korea are the World Health Organization Adult ADHD Self-Report Rating Scale, Korean Adult ADHD Rating Scale, Diagnostic Interview for ADHD in Adults, Barkley Deficits in Executive Functioning Scale for adults, Comprehensive Attention Test, Conners¡¯ Continuous Performance Test, and the subtests of Wechsler Adult Intelligence Scale, Digit Span and Letter-Number Sequencing.
Although pharmacotherapy is recommended as the first-line of treatment for adult ADHD, we recommend that it be followed by a multimodal and multidisciplinary approach including psychoeducation, pharmacotherapy, cognitive behavior therapy and coaching.
Conclusion: The Korean practice parameter introduces not only general information for the diagnosis and treatment of adult ADHD on a global scale, but also the process of diagnosis and treatment options tailored to the Korean population.
|
|
KEYWORD
|
|
Practice parameter, Korean, Adult, Attention-deficit/hyperactivity disorder, Evaluation, Treatment
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|