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Updated European Consensus Statement on diagnosis and treatment of adult ADHD
Expertise Ctr Adult ADHD, PsyQ Psychomed Programs, Carel Reinierszkade 197, NL-2593 HR The Hague, Netherlands;Amsterdam UMC, Dept Psychiat, Location VUMc, Amsterdam, Netherlands.
Expertise Ctr Adult ADHD, PsyQ Psychomed Programs, Carel Reinierszkade 197, NL-2593 HR The Hague, Netherlands.
INS, Inst Neurosci, Florence, Italy.
Jagiellonian Univ, Dept Psychiat, Sect Affect Disorders, Med Coll, Krakow, Poland.
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2019 (English)In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 56, p. 14-34Article in journal (Refereed) Published
Abstract [en]

Background

Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness.

Methods

The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated.

Results

Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated?

Conclusions

ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD.

Place, publisher, year, edition, pages
2019. Vol. 56, p. 14-34
Keywords [en]
Adult ADHD, Updated European Consensus Statement, Diagnosis, Treatment, European Network Adult ADHD, EPA
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-378194DOI: 10.1016/j.eurpsy.2018.11.001ISI: 000458502900003PubMedID: 30453134OAI: oai:DiVA.org:uu-378194DiVA, id: diva2:1294551
Available from: 2019-03-07 Created: 2019-03-07 Last updated: 2019-03-07Bibliographically approved

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