Öğütlü Hakan, Kütük Özlem Meryem, Tufan Ali Evren, Akay Aynur Pekcanlar, Gündoğdu Özlem Yildiz, Ercan Eyüp Sabri
Child and Adolescent Psychiatry Department, Cognitive Behavioral Psychotherapies Association, Ankara, Türkiye.
Child and Adolescent Psychiatry Department, Medical Faculty, Baskent University, Adana, Türkiye.
Front Psychiatry. 2024 Mar 20;15:1372341. doi: 10.3389/fpsyt.2024.1372341. eCollection 2024.
Attention Deficit/Hyperactivity Disorder (ADHD) is one of the most common and heritable neurodevelopmental disorders which may last through the life-span. A consensus report on diagnosis and management of ADHD among Turkish youth was prepared previously. However, the participants as well as the management options were rather limited and developments in the past decade necessitated a revision and update of the consensus. Therefore, this review aims to summarize the consensus among Child and Adolescent Psychiatrists from Türkiye on the nature and management of pediatric ADHD. For those aims, the etiology of ADHD, diagnostic and evaluation process, epidemiology, developmental presentations, differential diagnoses and comorbidities, course/outcome and pharmacological as well as non-pharmacological management options were reviewed and suggestions for clinical practice are presented. Since ADHD is a chronic disorder with wide-ranging effects on functionality that is frequently accompanied by other mental disorders, a multidimensional therapeutic approach is recommended. However, since the disorder has neurobiological basis, pharmacotherapy represents the mainstay of treatment. Additional therapies may include psychosocial therapy, behavioral therapy, school-based therapeutic approaches, and family education. This review provides recommendations for ADHD at the national and global levels. It contains information about ADHD that will contribute to and facilitate clinicians' decision-making processes. It is advisable to consider this guideline in clinical practice.
注意缺陷/多动障碍(ADHD)是最常见的遗传性神经发育障碍之一,可能会持续终生。此前曾编写过一份关于土耳其青少年ADHD诊断与管理的共识报告。然而,参与人员以及管理选项都相当有限,过去十年的发展使得该共识有必要进行修订和更新。因此,本综述旨在总结土耳其儿童和青少年精神科医生在儿童ADHD的性质和管理方面的共识。为实现这些目标,对ADHD的病因、诊断和评估过程、流行病学、发育表现、鉴别诊断和共病、病程/结局以及药物和非药物管理选项进行了综述,并提出了临床实践建议。由于ADHD是一种对功能有广泛影响的慢性疾病,常伴有其他精神障碍,因此建议采用多维度治疗方法。然而,由于该疾病具有神经生物学基础,药物治疗是主要的治疗方法。其他治疗方法可能包括心理社会治疗、行为治疗、基于学校的治疗方法和家庭教育。本综述在国家和全球层面为ADHD提供了建议。它包含有助于并促进临床医生决策过程的ADHD相关信息。在临床实践中考虑本指南是明智的。