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Development of the Korean Practice Parameter for Adult Attention-Deficit/Hyperactivity Disorder

소아청소년정신의학 2020년 31권 1호 p.5 ~ 25
반건호 ( Bahn Geon-Ho ) - Kyung Hee University School of Medicine Department of Psychiatry

이영식 ( Lee Young-Sik ) - Chung-Ang University Hospital Department of Psychiatry
유한익 ( Yoo Han-Ik ) - Seoul Brain Research Institute
김의중 ( Kim Eui-Jung ) - Ewha Women’s University College of Medicine Department of Psychiatry
박수빈 ( Park Su-Bin ) - National Center for Mental Health Department of Research and Planning
한덕현 ( Han Doug-Hyun ) - Chung-Ang University Hospital Department of Psychiatry
홍민하 ( Hong Min-Ha ) - Hanyang University School of Medicine Myongji Hospital Department of Psychiatry
김봉석 ( Kim Bong-Seog ) - Inje University College of Medicine Department of Psychiatry
이소영 ( Lee So-Young Irene ) - Soonchunhyang University College of Medicine Soonchunhyang University Bucheon Hospital Department of Psychiatry
홍진표 ( Hong Jin-Pyo ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Psychiatry
정유숙 ( Joung Yoo-Sook ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Psychiatry

Abstract


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.

키워드

Practice parameter; Korean; Adult; Attention-deficit/hyperactivity disorder; Evaluation; Treatment
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