지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.7
- 수록면
- 121 - 126 (6page)
이용수
초록· 키워드
오류제보하기
Objectives: Awareness of attention-deficit/hyperactivity disorder (ADHD) in adults has significantly increased; however, clinical data specific to the Korean population are insufficient. Clinical experience of ADHD may differ based on whether psychiatrists have received pediatric psychiatry-specific training. In order to prepare a practice parameter for adult ADHD patients in Korea, we examined questionnaire data to observe how pediatric psychiatry training could affect clinical practice for adults with ADHD.
Methods: A questionnaire about the diagnosis and treatment process was distributed to both general psychiatrists (GPsy) and child and adolescent psychiatrists (CAP) at the summer and winter workshop meetings of Korean Academy of Child and Adolescent Psychiatry.
Results: In total, 142 psychiatrists participated in the survey (86 GPsy, 56 CAP). GPsy and CAP preferred pharmacotherapy (GPsy 82.40%, CAP 64.30%) as the primary treatment option and answered that the clinical psychiatric interview is the most necessary step in diagnostic assessment (GPsy 22.16%, CAP 19.00%). The GPsy responded with an optimal and average treatment duration that was shorter than that reported by CAP.
Conclusion: Identification of the initial presenting symptom as the correct diagnosis and the optimal duration of pharmacotherapy differed between GPsy and CAP in practice, whereas concepts in diagnosis and treatment of ADHD in adults were similar for both groups. These results suggest the urgent need for the Continuing Medical Education program for psychiatrists treating adults with ADHD.
Methods: A questionnaire about the diagnosis and treatment process was distributed to both general psychiatrists (GPsy) and child and adolescent psychiatrists (CAP) at the summer and winter workshop meetings of Korean Academy of Child and Adolescent Psychiatry.
Results: In total, 142 psychiatrists participated in the survey (86 GPsy, 56 CAP). GPsy and CAP preferred pharmacotherapy (GPsy 82.40%, CAP 64.30%) as the primary treatment option and answered that the clinical psychiatric interview is the most necessary step in diagnostic assessment (GPsy 22.16%, CAP 19.00%). The GPsy responded with an optimal and average treatment duration that was shorter than that reported by CAP.
Conclusion: Identification of the initial presenting symptom as the correct diagnosis and the optimal duration of pharmacotherapy differed between GPsy and CAP in practice, whereas concepts in diagnosis and treatment of ADHD in adults were similar for both groups. These results suggest the urgent need for the Continuing Medical Education program for psychiatrists treating adults with ADHD.
목차
INTRODUCTION
METHODS
RESULT
DISCUSSION
CONCLUSIONS
REFERENCES
참고문헌 (14)
참고문헌 신청
American Psychiatric Association / 2013 / DSM-5 Task Force. Diagnostic and statistical manual of mental disorders: DSM-5TM / American Psychiatric Association :947
Sibley MH / 2016 / Method of adult diagnosis influences estimated persistence of childhood ADHD: a systematic review of longitudinal studies / Lancet Psychiatry 3:1157~1165
Sibley MH / 2017 / Defining ADHD symptom persistence in adulthood:optimizing sensitivity and specificity / J Child Psychol Psychiatry 58:655~662
American Psychiatric Association / 2013 / Diagnostic and statistical manual of mental disorders / American Psychiatric Association Publishing
Agnew-Blais JC / 2016 / Evaluation of the persistence, remission, and emergence of attention-deficit/hyperactivity disorder in young adulthood / JAMA Psychiatry 73:713~720
Sibley MH / 2016 / Method of adult diagnosis influences estimated persistence of childhood ADHD: a systematic review of longitudinal studies / Lancet Psychiatry 3:1157~1165
Sibley MH / 2017 / Defining ADHD symptom persistence in adulthood:optimizing sensitivity and specificity / J Child Psychol Psychiatry 58:655~662
American Psychiatric Association / 2013 / Diagnostic and statistical manual of mental disorders / American Psychiatric Association Publishing
Agnew-Blais JC / 2016 / Evaluation of the persistence, remission, and emergence of attention-deficit/hyperactivity disorder in young adulthood / JAMA Psychiatry 73:713~720
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