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저자정보
(Kyung Hee University School of Medicine) (Chung-Ang University College of Medicine) (Seoul Brain Research Institute) (Ewha Womans University) (National Center for Mental Health) (Chung-Ang University College of Medicine) (Hanyang University College of Medicine) (Inje University College of Medicine) (Soonchunhyang University College of Medicine) (Eulji University School of Medicine) (Kyung Hee University School of Medicine) (Sungkyunkwan University School of Medicine) (Sungkyunkwan University School of Medicine)
저널정보
대한소아청소년정신의학회 소아청소년정신의학 소아청소년정신의학 제31권 제1호
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    초록·키워드

    Objectives: Adult attention-deficit/hyperactivity disorder (ADHD) is an important mental health problem that needs resolution, especially considering the high rates of ADHD continuation from childhood to adolescence/adulthood and the high prevalence of ADHD in adults. Adults with ADHD have lifelong negative impacts and require close monitoring with long-term follow-up. Hence, the establishment of a Korean practice parameter for adult ADHD is necessary to minimize discontinuation of treatment and enable information sharing among Korean mental health professionals.
    Methods: The Korean practice parameter was developed using an evidence-based approach consisting of expert consensus survey coupled with literature review.
    Results: According to the expert consensus survey, the most commonly used diagnostic methods were clinical psychiatric interview (20.66%) and self-report scales (19.25%) followed by attention (14.71%) and psychological tests (14.24%). Key evaluation instruments currently available in Korea are the World Health Organization Adult ADHD Self-Report Rating Scale, Korean Adult ADHD Rating Scale, Diagnostic Interview for ADHD in Adults, Barkley Deficits in Executive Functioning Scale for adults, Comprehensive Attention Test, Conners’ Continuous Performance Test, and the subtests of Wechsler Adult Intelligence Scale, Digit Span and Letter-Number Sequencing. Although pharmacotherapy is recommended as the first-line of treatment for adult ADHD, we recommend that it be followed by a multimodal and multidisciplinary approach including psychoeducation, pharmacotherapy, cognitive behavior therapy and coaching.
    Conclusion: The Korean practice parameter introduces not only general information for the diagnosis and treatment of adult ADHD on a global scale, but also the process of diagnosis and treatment options tailored to the Korean population.

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      UCI(KEPA) : I410-ECN-0101-2020-516-000260747