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https://www.readbyqxmd.com/read/30511593/the-adult-adhd-quality-measures-initiative
#1
Stephen V Faraone, Michael J Silverstein, Kevin Antshel, Joseph Biederman, David W Goodman, Oren Mason, Andrew A Nierenberg, Anthony Rostain, Mark A Stein, Lenard A Adler
OBJECTIVE: Quality measures (QMs; also known as Quality Indicators) quantify health care processes, outcomes, patient perceptions, and organizational structure and/or systems that are relevant to the provision of high-quality health care. We describe the first phase of a project that has as its ultimate goal the creation and validation of QMs for tracking the screening, diagnosis, treatment, and clinical follow-up of adults with ADHD. This will fill an important gap in the field of Adult ADHD because QMs for adult ADHD do not exist...
December 4, 2018: Journal of Attention Disorders
https://www.readbyqxmd.com/read/30477233/the-construction-and-validation-of-child-adolescent-and-parental-decision-aids-for-considering-methylphenidate-drug-holidays-in-adhd
#2
Kinda Ibrahim, Gina Randolph, Olivia Doran, Parastou Donyai
Guidelines recommend encouraging young people with attention deficit hyperactivity disorder (ADHD) who are taking medication long-term, to discuss their preferences for stopping or changing their treatment, including a discussion about 'drug holidays', with their doctor. Yet, to date, no written information has been available to empower children and adolescents with ADHD and their parents to make informed decisions about drug holidays. The aim of this study was to design and develop a suite of decision aids to help families decide if they want to take a drug holiday from methylphenidate...
November 24, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/30444210/assessing-risk-of-neurodevelopmental-disorders-after-birth-with-oxytocin-a-systematic-review-and-meta-analysis
#3
Nicole N Lønfeldt, Frank C Verhulst, Katrine Strandberg-Larsen, Kerstin J Plessen, Eli R Lebowitz
Experts have raised concerns that oxytocin for labor induction and augmentation may have detrimental effects on the neurodevelopment of children. To investigate whether there is the reason for concern, we reviewed and evaluated the available evidence by searching databases with no language or date restrictions up to 9 September 2018. We included English-language studies reporting results on the association between perinatal oxytocin exposure and any cognitive impairment, psychiatric symptoms or disorders in childhood...
November 16, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/30373494/adherence-to-recommended-care-guidelines-in-the-treatment-of-preschool-age-medicaid-enrolled-children-with-a-diagnosis-of-adhd
#4
Alex Moran, Nicoleta Serban, Melissa L Danielson, Scott D Grosse, Steven P Cuffe
OBJECTIVE: Attention-deficit/hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder of childhood. Clinical guidelines recommend behavior therapy as the first-line treatment for preschool-age children with ADHD. This study evaluated longitudinal patterns of services received by Medicaid-enrolled children ages 2 to 5 with ADHD in seven southeastern states (Alabama, Florida, Georgia, Louisiana, Mississippi, North Carolina, and South Carolina). METHODS: A discrete sequence clustering analysis was used with 2005-2012 Medicaid Analytic eXtract data to profile patient-level utilization for each state, with a focus on receipt of psychological services and medication...
October 30, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30255748/does-diet-affect-the-symptoms-of-adhd
#5
Cesar Cagigal, Tania Silva, Mariana Jesus, Carla Silva
INTRODUCTION: Attention deficit hyperactivity disorder (ADHD) is the most common psychiatric diagnosis in childhood and adolescence, with an estimated worldwide-pooled prevalence of 5,29%. The type of treatment depends on several factors. Psychopharmacological treatment entails undesirable side effects, with unclear long-term benefits, which has led the scientific community to investigate other therapeutic approaches, such as dietary interventions. METHODS: The authors conducted a classical review on the current treatment recommended in individuals with ADHD diagnosis, their dietary patterns, as well as dietary factors possibly implicated in the etiology and treatment of this disorder...
September 25, 2018: Current Pharmaceutical Biotechnology
https://www.readbyqxmd.com/read/30232561/predictive-utility-of-childhood-diagnosis-of-icd-10-hyperkinetic-disorder-adult-outcomes-in-the-mta-and-effect-of-comorbidity
#6
L Eugene Arnold, Arunima Roy, Eric Taylor, Lily Hechtman, Margaret Sibley, James M Swanson, John T Mitchell, Brooke S G Molina, Luis A Rohde
Diagnostic guidelines differ between DSM attention-deficit/hyperactivity disorder (ADHD) and ICD hyperkinetic disorder (HKD). Only 145 of 579 children age 7-9 in the Multimodal Treatment Study of ADHD (the MTA) with combined-type DSM-IV ADHD met criteria for ICD-10 HKD, because major internalizing comorbidities and more stringent symptom count/pervasiveness requirements excluded most. The 145 HKD had significantly better 14-month medication response than the rest. We explored whether HKD had greater adult symptom persistence and/or impairment than other ADHD...
September 19, 2018: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/30220514/trends-in-attention-deficit-hyperactivity-disorder-medication-use-a-retrospective-observational-study-using-population-based-databases
#7
Sudha R Raman, Kenneth K C Man, Shahram Bahmanyar, Anick Berard, Scott Bilder, Takoua Boukhris, Greta Bushnell, Stephen Crystal, Kari Furu, Yea-Huei KaoYang, Øystein Karlstad, Helle Kieler, Kiyoshi Kubota, Edward Chia-Cheng Lai, Jaana E Martikainen, Géric Maura, Nicholas Moore, Dolores Montero, Hidefumi Nakamura, Anke Neumann, Virginia Pate, Anton Pottegård, Nicole L Pratt, Elizabeth E Roughead, Diego Macias Saint-Gerons, Til Stürmer, Chien-Chou Su, Helga Zoega, Miriam C J M Sturkenbroom, Esther W Chan, David Coghill, Patrick Ip, Ian C K Wong
BACKGROUND: The use of medications to treat attention deficit hyperactivity disorder (ADHD) has increased, but the prevalence of ADHD medication use across different world regions is not known. Our objective was to determine regional and national prevalences of ADHD medication use in children and adults, with a specific focus on time trends in ADHD medication prevalence. METHODS: We did a retrospective, observational study using population-based databases from 13 countries and one Special Administrative Region (SAR): four in Asia and Australia, two in North America, five in northern Europe, and three in western Europe...
October 2018: Lancet Psychiatry
https://www.readbyqxmd.com/read/30124189/adhd-science-stigma-and-service-implications
#8
B Gavin, F McNicholas
We are delighted to dedicate an edition of the Irish Journal of Psychological Medicine to the topic of attention-deficit hyperactivity disorder (ADHD). ADHD accounts for the majority of clinical presentations to Child and Adolescent Mental Health Services, both in terms of new assessments and ongoing attendances. Papers presented in this edition reflect on the evolving construct of ADHD, drawing from science, clinical practice and public opinion. Current and evidenced-based assessment and treatment practice guidelines are reviewed...
September 2018: Irish Journal of Psychological Medicine
https://www.readbyqxmd.com/read/30124181/attitudes-and-reported-practice-of-paediatricians-and-child-psychiatrists-regarding-the-assessment-and-treatment-of-adhd-in-ireland
#9
F Honorio Neto, M Tatlow-Golden, A Mulligan, B Gavin, F McNicholas
OBJECTIVES: This mixed-method national survey has obtained original data on attention deficit hyperactivity disorder (ADHD) attitudes, assessment and treatment regimes reported by paediatricians and child psychiatrists; and has compared their clinics. It has examined the extent of involvement of Irish paediatricians in the management of ADHD. METHODS: A questionnaire was designed, based on a review of literature and ADHD guidelines, and piloted by expert clinicians...
September 2018: Irish Journal of Psychological Medicine
https://www.readbyqxmd.com/read/30116206/prevalence-of-attention-deficit-hyperactivity-disorder-in-detention-settings-a-systematic-review-and-meta-analysis
#10
Stéphanie Baggio, Ana Fructuoso, Marta Guimaraes, Eveline Fois, Diane Golay, Patrick Heller, Nader Perroud, Candy Aubry, Susan Young, Didier Delessert, Laurent Gétaz, Nguyen T Tran, Hans Wolff
Background: Previous studies have reported a high prevalence of attention deficit hyperactivity disorder (ADHD) among people living in detention (PLD) corresponding to a five- to ten-fold increase compared to the general population. Our main study objective was to provide an updated ADHD prevalence rate for PLD, including PLD in psychiatric units. Sub-objectives included (i) comparing different ways of assessing ADHD, including DSM-5 criteria and (ii) identifying which types of PLD are more likely to have ADHD...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/30111187/discoveries-on-the-genetics-of-adhd-in-the-21st-century-new-findings-and-their-implications
#11
REVIEW
Anita Thapar
The 21st century has witnessed the discovery of multiple rare and common gene variants associated with attention deficit hyperactivity disorder (ADHD), and these discoveries have already provided a starting point for the investigation of the biology of the disorder and novel treatments. The purpose of this selective review is to examine genetic findings from the past 5 years and consider their implications for the conceptualization of ADHD and future clinical practice. Recent discoveries reveal the strong genetic overlaps between ADHD and autism spectrum disorder (ASD) as well as intellectual disability...
October 1, 2018: American Journal of Psychiatry
https://www.readbyqxmd.com/read/30097390/comparative-efficacy-and-tolerability-of-medications-for-attention-deficit-hyperactivity-disorder-in-children-adolescents-and-adults-a-systematic-review-and-network-meta-analysis
#12
Samuele Cortese, Nicoletta Adamo, Cinzia Del Giovane, Christina Mohr-Jensen, Adrian J Hayes, Sara Carucci, Lauren Z Atkinson, Luca Tessari, Tobias Banaschewski, David Coghill, Chris Hollis, Emily Simonoff, Alessandro Zuddas, Corrado Barbui, Marianna Purgato, Hans-Christoph Steinhausen, Farhad Shokraneh, Jun Xia, Andrea Cipriani
BACKGROUND: The benefits and safety of medications for attention-deficit hyperactivity disorder (ADHD) remain controversial, and guidelines are inconsistent on which medications are preferred across different age groups. We aimed to estimate the comparative efficacy and tolerability of oral medications for ADHD in children, adolescents, and adults. METHODS: We did a literature search for published and unpublished double-blind randomised controlled trials comparing amphetamines (including lisdexamfetamine), atomoxetine, bupropion, clonidine, guanfacine, methylphenidate, and modafinil with each other or placebo...
September 2018: Lancet Psychiatry
https://www.readbyqxmd.com/read/30080117/-%C3%AF-neuropsychiatric-manifestations-in-tuberous-sclerosis-complex-tsc-diagnostic-guidelines-tand-concept-and-therapy-with-mtor-inhibitors%C3%AF
#13
Robert Waltereit, Martha Feucht, Magdalena C de Vries, Julia Huemer, Veit Roessner, Petrus J de Vries
Neuropsychiatric manifestations in Tuberous Sclerosis Complex (TSC): diagnostic guidelines, TAND concept and therapy with mTOR inhibitors Abstract. Tuberous sclerosis complex (TSC), albeit a rare autosomal-dominant multisystem disease with an incidence of 1:6,000, is one of the most important monogenetic disorders in child and adolescent psychiatry. In up to 90 % of patients, neurological disorders such as epilepsy and psychiatric disorders such as autism spectrum disorder, ADHD, affective disorders, and intellectual disability are observed...
August 6, 2018: Zeitschrift Für Kinder- und Jugendpsychiatrie und Psychotherapie
https://www.readbyqxmd.com/read/30064930/collaborative-care-of-attention-deficit-hyperactivity-disorder-an-innovative-partnership-to-serve-rural-pediatric-patients
#14
Annie D Imboden, Karla K Fehr
Attention deficit hyperactivity disorder (ADHD) is a common behavioral health disorder in childhood that causes significant impairments in quality of life, home relationships, and school success. Despite a substantial evidence base and corresponding practice guidelines established by the American Academy of Pediatrics that support use of behavioral therapy to treat ADHD, affected patients infrequently receive therapy. This article will review the causes of underuse of behavioral therapy and methods to overcome these barriers such as integrating behavioral health care, thereby creating a pediatric patient-centered medical home...
November 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/30058447/the-implementation-of-extended-examination-duration-for-students-with-adhd-in-higher-education
#15
Dorien Jansen, Katja Petry, Steven W Evans, Ilse Noens, Dieter Baeyens
OBJECTIVE: Recently, research indicated that extended examination duration was perceived as effective by students with ADHD. However, the objective effectiveness of this accommodation has not been researched extensively. This study addresses this gap in literature. METHOD: A total of 30 students with ADHD and 30 matched typically developing controls (TDC) participated in a simulation of a real-life examination. They filled in three parallel versions of a paper-and-pencil test in three time conditions: 1 hr (+0%), 1 hr 20 min (+33%), and 1 hr 30 min (+50%)...
July 28, 2018: Journal of Attention Disorders
https://www.readbyqxmd.com/read/29982921/what-stops-practitioners-discussing-medication-breaks-in-children-and-adolescents-with-adhd-identifying-barriers-through-theory-driven-qualitative-research
#16
Kinda Ibrahim, Parastou Donyai
National and international guidelines on the treatment of attention deficit hyperactivity disorder (ADHD) in children and adolescents call for annual reviews to assess continuing need for medication by considering brief periods without medication, referred to as 'Drug holidays'. However, drug holidays are reactively initiated by families, or recommended by practitioners if growth has been suppressed by medication rather than proactively to check the need. There is little evidence of planned, practitioner-initiated drug holidays from methylphenidate...
December 2018: Attention Deficit and Hyperactivity Disorders
https://www.readbyqxmd.com/read/29921155/supplementation-with-polyunsaturated-fatty-acids-pufas-in-the-management-of-attention-deficit-hyperactivity-disorder-adhd
#17
Tobias Banaschewski, Brendan Belsham, Michael H Bloch, Maite Ferrin, Mats Johnson, James Kustow, Sarah Robinson, Alessandro Zuddas
While pharmacotherapy and psychosocial interventions are recommended as the primary frontline treatment for attention deficit hyperactivity disorder (ADHD), alternative approaches to managing ADHD are becoming increasingly popular among patients and their families. Supplementation with polyunsaturated fatty acids (PUFAs) is an example of this. PUFA supplementation is not recommended by guidelines for managing ADHD; however, patients may still decide to use it. To provide direction to healthcare professionals (HCPs) managing ADHD, eight international experts in the field of adult and child ADHD came together for the Continuum Education Board: Omega Supplements in ADHD meeting...
January 1, 2018: Nutrition and Health
https://www.readbyqxmd.com/read/29916032/-attention-deficit-hyperactivity-disorder-adhd-and-comorbid-mental-disorders-adhd-specific-self-rating-scales-in-differential-diagnostics
#18
M Paucke, T Stark, C Exner, C Kallweit, U Hegerl, M Strauß
BACKGROUND: It is still unclear how well the established attention deficit-hyperactive disorder (ADHD)-specific rating scales can differentiate between ADHD symptoms and symptoms of other mental disorders. METHODS: A total of 274 patients with suspected adult ADHD were extensively examined clinically and guideline-conform in an ADHD outpatient clinic. In 190 patients the diagnosis of ADHD could be made with certainty. The patients were also subsequently assessed according to the DSM IV criteria by self-rating scales on current (ADHS-SB, ASRS, CAARS) and retrospective (WURS-K) complaints...
June 18, 2018: Der Nervenarzt
https://www.readbyqxmd.com/read/29874359/association-of-hypertensive-disorders-of-pregnancy-with-risk-of-neurodevelopmental-disorders-in-offspring-a-systematic-review-and-meta-analysis
#19
Gillian M Maher, Gerard W O'Keeffe, Patricia M Kearney, Louise C Kenny, Timothy G Dinan, Molly Mattsson, Ali S Khashan
Importance: Although research suggests an association between hypertensive disorders of pregnancy (HDP) and autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and other neurodevelopmental disorders in offspring, consensus is lacking. Given the increasing prevalence of hypertension in pregnancy, it is important to examine the association of HDP with neurodevelopmental outcome. Objective: To synthesize the published literature on the association between HDP and risk of neurodevelopmental disorders in offspring in a systematic review and meta-analysis...
August 1, 2018: JAMA Psychiatry
https://www.readbyqxmd.com/read/29872928/increased-risk-of-developing-psychiatric-disorders-in-children-with-attention-deficit-and-hyperactivity-disorder-adhd-receiving-sensory-integration-therapy-a-population-based-cohort-study
#20
Ruu-Fen Tzang, Yue-Cune Chang, Kai-Liang Kao, Yu-Hsin Huang, Hui-Chun Huang, Yu-Chiao Wang, Chih-Hsin Muo, Shu-I Wu, Fung-Chang Sung, Robert Stewart
Parents of children with attention deficit hyperactivity disorder (ADHD) have been found to prefer sensory integration (SI) training rather than guideline-recommended ADHD treatment. This study investigated whether SI intervention for children with ADHD was associated with a reduced risk of subsequent mental disorders. From children < 8-years-old newly diagnosed with ADHD in a nationwide population-based dataset, we established a SI cohort and a non-SI cohort (N =  1945) matched by propensity score...
June 5, 2018: European Child & Adolescent Psychiatry
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