Adamis Dimitrios, Tatlow-Golden Mimi, Gavin Blánaid, McNicholas Fiona
Sligo Mental Health Services, Clarion Rd, Sligo, Ireland.
Research and Academic Institute of Athens, Athens, Greece.
Ir J Med Sci. 2019 Feb;188(1):231-239. doi: 10.1007/s11845-018-1804-3. Epub 2018 Apr 13.
ADHD is the most frequent reason for attendance at Child and Adolescent Mental Health Services (CAMHS). General practitioners (GPs) play a key role in recognising symptoms, referring for assessment and supporting ongoing treatment. However, there is an ambiguous understanding of ADHD among GPs, and different attitudes regarding the validity of ADHD as a construct. The present study aims to explore and identify GPs attitudes and beliefs about ADHD in the Irish context, and to find out the association of those attitudes with other factors.
Representative sample of qualified GPs registered to the Irish Medical Directory. The survey included questions about GPs' practice, attitudes towards ADHD, knowledge of symptoms and workup for ADHD, previous training and personal experience of ADHD.
A hundred and forty GPs participated (response rate 28%). Factor analysis indicated 58.8% expressed a positive attitude towards ADHD. Those who have positive attitudes were more likely to be between 36 and 55 years old, seeing fewer children with suspected ADHD per year and working as part of a primary care team. Years of practice, personal experience of ADHD, training and knowledge in ADHD and access to CAMHS or psychology were not significantly related to either positive or negative ADHD attitudes.
Despite the high rates of ADHD among children, a slim majority of Irish GPs have positive attitudes towards ADHD. This could lead to undiagnosed or misdiagnosed cases. Strategies need to be considered to address this.
注意力缺陷多动障碍（ADHD）是儿童与青少年心理健康服务（CAMHS）机构就诊的最常见原因。全科医生（GPs）在识别症状、转诊评估及支持后续治疗方面发挥着关键作用。然而，全科医生对ADHD的理解存在模糊之处，对ADHD作为一种病症的有效性也存在不同态度。本研究旨在探讨并确定爱尔兰背景下全科医生对ADHD的态度和信念，并找出这些态度与其他因素之间的关联。
选取在《爱尔兰医学名录》注册的合格全科医生作为代表性样本。该调查涵盖了有关全科医生的执业情况、对ADHD的态度、对ADHD症状及检查方法的了解、既往培训经历以及ADHD的个人经历等问题。
140名全科医生参与了调查（回复率为28%）。因子分析表明，58.8%的人对ADHD持积极态度。持积极态度的人更有可能年龄在36至55岁之间，每年接诊的疑似ADHD儿童较少，且作为初级保健团队的一员工作。执业年限、ADHD的个人经历、ADHD方面的培训和知识以及能否获得儿童与青少年心理健康服务或心理治疗与对ADHD的积极或消极态度均无显著关联。
尽管儿童中ADHD发病率很高，但爱尔兰全科医生中只有少数人对ADHD持积极态度。这可能导致漏诊或误诊情况的发生。需要考虑采取策略来解决这一问题。
