Kavanagh G, O'Hanrahan S, Hughes G, McNicholas F
1Consultant Child and Adolescent Psychiatrist,Lucena Clinic,Wicklow,Ireland.
2Research Psychologist,Department of Child and Adolescent Psychiatry,Our Lady's Children's Hospital,Crumlin,Dublin,Ireland.
Ir J Psychol Med. 2015 Sep;32(3):283-293. doi: 10.1017/ipm.2014.63.
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder with international prevalence rates estimated to be 5%. It is currently the most common disorder treated in Child and Adolescent Mental Health Services in Ireland. There have been a number of guidelines worldwide produced to aid clinicians in the diagnosis and treatment of ADHD; however, there are no guidelines available specifically for the Irish population and healthcare system.
The aim of this paper is to review the available clinical guidelines for the diagnosis and management of ADHD in children adolescents across North America, Canada, Europe and the United Kingdom and to apply these to an Irish context.
A number of international guidelines were reviewed. A proposed pathway for the assessment and treatment of children and adolescents with ADHD has been devised with the recommendation that a formalised consensus guideline should be implemented.
This review paper has highlighted that there is consensus between the guidelines for the diagnosis of ADHD with a thorough clinical history remaining the gold standard. They further agree on the importance of identifying co-morbid disorders. When it comes to the treatment, the guidelines are less unified. This current paper has devised a proposed care pathway for ADHD in Ireland to ensure high quality cost effective care within its healthcare system.
注意力缺陷多动障碍（ADHD）是一种神经发育障碍，据估计其在全球的患病率为5%。它是爱尔兰儿童和青少年心理健康服务中目前最常治疗的疾病。全球已经出台了一些指南来帮助临床医生诊断和治疗ADHD；然而，目前没有专门针对爱尔兰人群和医疗保健系统的指南。
本文的目的是回顾北美、加拿大、欧洲和英国关于儿童青少年ADHD诊断和管理的现有临床指南，并将其应用于爱尔兰的情况。
对一些国际指南进行了回顾。设计了一个针对ADHD儿童和青少年的评估和治疗建议路径，并建议实施正式的共识指南。
这篇综述文章强调，ADHD诊断指南之间存在共识，详尽的临床病史仍是金标准。它们还就识别共病的重要性达成了一致。在治疗方面，指南的一致性较低。本文为爱尔兰设计了一个ADHD的建议护理路径，以确保其医疗保健系统内高质量、具有成本效益的护理。
