La thérapie familiale en francophonie (serveur d'exploration)

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European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD

Identifieur interne : 000341 ( Main/Merge ); précédent : 000340; suivant : 000342

European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD

Auteurs : Sandra Jj Kooij [Pays-Bas] ; Susanne Bejerot [Suède] ; Andrew Blackwell [Royaume-Uni] ; Herve Caci [France] ; Miquel Casas-Brugué [Espagne] ; Pieter J. Carpentier [Pays-Bas] ; Dan Edvinsson [Suède] ; John Fayyad [Liban] ; Karin Foeken [France] ; Michael Fitzgerald [Irlande (pays)] ; Veronique Gaillac [France] ; Ylva Ginsberg [Suède] ; Chantal Henry [France] ; Johanna Krause [Allemagne] ; Michael B. Lensing [Norvège] ; Iris Manor [Israël] ; Helmut Niederhofer [Italie] ; Carlos Nunes-Filipe [Portugal] ; Martin D. Ohlmeier [Allemagne] ; Pierre Oswald [Belgique] ; Stefano Pallanti [Italie] ; Artemios Pehlivanidis [Grèce] ; Josep A. Ramos-Quiroga [Espagne] ; Maria Rastam [Suède] ; Doris Ryffel-Rawak [Suisse] ; Steven Stes [Belgique] ; Philip Asherson [Royaume-Uni]

Source :

RBID : PMC:2942810

Abstract

Background

Attention deficit hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that persists into adulthood in the majority of cases. The evidence on persistence poses several difficulties for adult psychiatry considering the lack of expertise for diagnostic assessment, limited treatment options and patient facilities across Europe.

Methods

The European Network Adult ADHD, founded in 2003, aims to increase awareness of this disorder and improve knowledge and patient care for adults with ADHD across Europe. This Consensus Statement is one of the actions taken by the European Network Adult ADHD in order to support the clinician with research evidence and clinical experience from 18 European countries in which ADHD in adults is recognised and treated.

Results

Besides information on the genetics and neurobiology of ADHD, three major questions are addressed in this statement: (1) What is the clinical picture of ADHD in adults? (2) How can ADHD in adults be properly diagnosed? (3) How should ADHD in adults be effectively treated?

Conclusions

ADHD often presents as an impairing lifelong condition in adults, yet it is currently underdiagnosed and treated in many European countries, leading to ineffective treatment and higher costs of illness. Expertise in diagnostic assessment and treatment of ADHD in adults must increase in psychiatry. Instruments for screening and diagnosis of ADHD in adults are available and appropriate treatments exist, although more research is needed in this age group.


Url:
DOI: 10.1186/1471-244X-10-67
PubMed: 20815868
PubMed Central: 2942810

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PMC:2942810

Le document en format XML

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<wicri:regionArea>Servicio de Psiquiatria, Hospital Universitari Vall d' Hebron, Universidad Autonoma de Barcelona, Barcelona</wicri:regionArea>
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<name sortKey="Carpentier, Pieter J" sort="Carpentier, Pieter J" uniqKey="Carpentier P" first="Pieter J" last="Carpentier">Pieter J. Carpentier</name>
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<nlm:aff id="I6">Reinier van Arkel Groep, Postbus 70058, 5201 DZ 's-Hertogenbosch, The Netherlands</nlm:aff>
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<name sortKey="Edvinsson, Dan" sort="Edvinsson, Dan" uniqKey="Edvinsson D" first="Dan" last="Edvinsson">Dan Edvinsson</name>
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<nlm:aff id="I7">Department of Neuroscience/Psychiatri Ulleråker, MK 75, S-750 17 Uppsala, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Neuroscience/Psychiatri Ulleråker, MK 75, S-750 17 Uppsala</wicri:regionArea>
<wicri:noRegion>S-750 17 Uppsala</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Fayyad, John" sort="Fayyad, John" uniqKey="Fayyad J" first="John" last="Fayyad">John Fayyad</name>
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<nlm:aff id="I8">Institute of Development, Research, Advocacy and Applied Care (IDRAAC), Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Centre, Balamand University, Beirut, Lebanon</nlm:aff>
<country xml:lang="fr">Liban</country>
<wicri:regionArea>Institute of Development, Research, Advocacy and Applied Care (IDRAAC), Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Centre, Balamand University, Beirut</wicri:regionArea>
<wicri:noRegion>Beirut</wicri:noRegion>
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</author>
<author>
<name sortKey="Foeken, Karin" sort="Foeken, Karin" uniqKey="Foeken K" first="Karin" last="Foeken">Karin Foeken</name>
<affiliation wicri:level="1">
<nlm:aff id="I9">Centre des Consultations, Institut A Tzanck, Mougins, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Centre des Consultations, Institut A Tzanck, Mougins</wicri:regionArea>
<wicri:noRegion>Mougins</wicri:noRegion>
<wicri:noRegion>Mougins</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Fitzgerald, Michael" sort="Fitzgerald, Michael" uniqKey="Fitzgerald M" first="Michael" last="Fitzgerald">Michael Fitzgerald</name>
<affiliation wicri:level="1">
<nlm:aff id="I10">Department of Psychiatry, Trinity College Dublin (TCD), Dublin 2, Ireland</nlm:aff>
<country xml:lang="fr">Irlande (pays)</country>
<wicri:regionArea>Department of Psychiatry, Trinity College Dublin (TCD), Dublin 2</wicri:regionArea>
<wicri:noRegion>Dublin 2</wicri:noRegion>
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</author>
<author>
<name sortKey="Gaillac, Veronique" sort="Gaillac, Veronique" uniqKey="Gaillac V" first="Veronique" last="Gaillac">Veronique Gaillac</name>
<affiliation wicri:level="1">
<nlm:aff id="I11">Clinique des Maladies Mentales et de l'Encéphale (CMME), Sainte Anne Hospital Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Clinique des Maladies Mentales et de l'Encéphale (CMME), Sainte Anne Hospital Paris</wicri:regionArea>
<wicri:noRegion>Sainte Anne Hospital Paris</wicri:noRegion>
<wicri:noRegion>Sainte Anne Hospital Paris</wicri:noRegion>
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<author>
<name sortKey="Ginsberg, Ylva" sort="Ginsberg, Ylva" uniqKey="Ginsberg Y" first="Ylva" last="Ginsberg">Ylva Ginsberg</name>
<affiliation wicri:level="1">
<nlm:aff id="I12">Affektiva mottagningen, M 59, Psykiatri Sydväst, 141 86 Stockholm, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Affektiva mottagningen, M 59, Psykiatri Sydväst, 141 86 Stockholm</wicri:regionArea>
<wicri:noRegion>141 86 Stockholm</wicri:noRegion>
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<author>
<name sortKey="Henry, Chantal" sort="Henry, Chantal" uniqKey="Henry C" first="Chantal" last="Henry">Chantal Henry</name>
<affiliation wicri:level="3">
<nlm:aff id="I13">Département de Psychiatrie Adulte, Unité Lescure, CH Charles Perrens, Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Département de Psychiatrie Adulte, Unité Lescure, CH Charles Perrens, Bordeaux</wicri:regionArea>
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<region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
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<author>
<name sortKey="Krause, Johanna" sort="Krause, Johanna" uniqKey="Krause J" first="Johanna" last="Krause">Johanna Krause</name>
<affiliation wicri:level="1">
<nlm:aff id="I14">Private clinic for psychiatry and psychotherapy, 11a Schillerstrasse, Ottobrunn, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Private clinic for psychiatry and psychotherapy, 11a Schillerstrasse, Ottobrunn</wicri:regionArea>
<wicri:noRegion>Ottobrunn</wicri:noRegion>
<wicri:noRegion>Ottobrunn</wicri:noRegion>
<wicri:noRegion>Ottobrunn</wicri:noRegion>
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</author>
<author>
<name sortKey="Lensing, Michael B" sort="Lensing, Michael B" uniqKey="Lensing M" first="Michael B" last="Lensing">Michael B. Lensing</name>
<affiliation wicri:level="3">
<nlm:aff id="I15">Department of Child Neurology, Oslo University Hospital, Ullevaal, Oslo, Norway</nlm:aff>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Department of Child Neurology, Oslo University Hospital, Ullevaal, Oslo</wicri:regionArea>
<placeName>
<settlement type="city">Oslo</settlement>
<region nuts="2">Østlandet</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Manor, Iris" sort="Manor, Iris" uniqKey="Manor I" first="Iris" last="Manor">Iris Manor</name>
<affiliation wicri:level="1">
<nlm:aff id="I16">Geha Mental Health Center, Petach-Tiqva, Sackler Faculty of Medicine, Tel-Aviv University, Israel</nlm:aff>
<country xml:lang="fr">Israël</country>
<wicri:regionArea>Geha Mental Health Center, Petach-Tiqva, Sackler Faculty of Medicine, Tel-Aviv University</wicri:regionArea>
<wicri:noRegion>Tel-Aviv University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Niederhofer, Helmut" sort="Niederhofer, Helmut" uniqKey="Niederhofer H" first="Helmut" last="Niederhofer">Helmut Niederhofer</name>
<affiliation wicri:level="1">
<nlm:aff id="I17">Department of Child Psychiatry, Regional Hospital of Bolzano, Via Guncina, Bolzano, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Child Psychiatry, Regional Hospital of Bolzano, Via Guncina, Bolzano</wicri:regionArea>
<wicri:noRegion>Bolzano</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Nunes Filipe, Carlos" sort="Nunes Filipe, Carlos" uniqKey="Nunes Filipe C" first="Carlos" last="Nunes-Filipe">Carlos Nunes-Filipe</name>
<affiliation wicri:level="1">
<nlm:aff id="I18">Faculty of Medical Sciences, New University of Lisbon, Campo dos Mártires da Pátria, 1169-056 Lisboa, Portugal</nlm:aff>
<country xml:lang="fr">Portugal</country>
<wicri:regionArea>Faculty of Medical Sciences, New University of Lisbon, Campo dos Mártires da Pátria, 1169-056 Lisboa</wicri:regionArea>
<wicri:noRegion>1169-056 Lisboa</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ohlmeier, Martin D" sort="Ohlmeier, Martin D" uniqKey="Ohlmeier M" first="Martin D" last="Ohlmeier">Martin D. Ohlmeier</name>
<affiliation wicri:level="1">
<nlm:aff id="I19">Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School</wicri:regionArea>
<wicri:noRegion>Hannover Medical School</wicri:noRegion>
<wicri:noRegion>Hannover Medical School</wicri:noRegion>
<wicri:noRegion>Hannover Medical School</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Oswald, Pierre" sort="Oswald, Pierre" uniqKey="Oswald P" first="Pierre" last="Oswald">Pierre Oswald</name>
<affiliation wicri:level="3">
<nlm:aff id="I20">Department of Psychiatry, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Psychiatry, Brugmann University Hospital, Université Libre de Bruxelles, Brussels</wicri:regionArea>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Pallanti, Stefano" sort="Pallanti, Stefano" uniqKey="Pallanti S" first="Stefano" last="Pallanti">Stefano Pallanti</name>
<affiliation wicri:level="1">
<nlm:aff id="I21">Department of Neurosciences, Florence University, Florence, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Neurosciences, Florence University, Florence</wicri:regionArea>
<wicri:noRegion>Florence</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Pehlivanidis, Artemios" sort="Pehlivanidis, Artemios" uniqKey="Pehlivanidis A" first="Artemios" last="Pehlivanidis">Artemios Pehlivanidis</name>
<affiliation wicri:level="1">
<nlm:aff id="I22">Department of Psychiatry, National and Kapodistrian University of Athens Medical School, Eginition Hospital, Athens, Greece</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>Department of Psychiatry, National and Kapodistrian University of Athens Medical School, Eginition Hospital, Athens</wicri:regionArea>
<wicri:noRegion>Athens</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ramos Quiroga, Josep A" sort="Ramos Quiroga, Josep A" uniqKey="Ramos Quiroga J" first="Josep A" last="Ramos-Quiroga">Josep A. Ramos-Quiroga</name>
<affiliation wicri:level="3">
<nlm:aff id="I23">Programa Integral del Déficit de Atención en el Adulto (P.I.D.A.A), Servei de Psiquiatria, Hospital Universitari Vall d'Hebron, Barcelona, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Programa Integral del Déficit de Atención en el Adulto (P.I.D.A.A), Servei de Psiquiatria, Hospital Universitari Vall d'Hebron, Barcelona</wicri:regionArea>
<placeName>
<settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Rastam, Maria" sort="Rastam, Maria" uniqKey="Rastam M" first="Maria" last="Rastam">Maria Rastam</name>
<affiliation wicri:level="1">
<nlm:aff id="I24">Department of Clinical Sciences, Lund, Child and Adolescent Psychiatry, Lund University, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Clinical Sciences, Lund, Child and Adolescent Psychiatry, Lund University</wicri:regionArea>
<wicri:noRegion>Lund University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ryffel Rawak, Doris" sort="Ryffel Rawak, Doris" uniqKey="Ryffel Rawak D" first="Doris" last="Ryffel-Rawak">Doris Ryffel-Rawak</name>
<affiliation wicri:level="3">
<nlm:aff id="I25">Johanniterstraße 1, CH-3047 Bremgarten, Bern, Switzerland</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Johanniterstraße 1, CH-3047 Bremgarten, Bern</wicri:regionArea>
<placeName>
<settlement type="city">Berne</settlement>
<region type="région" nuts="3">Canton de Berne</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Stes, Steven" sort="Stes, Steven" uniqKey="Stes S" first="Steven" last="Stes">Steven Stes</name>
<affiliation wicri:level="1">
<nlm:aff id="I26">ADHD Program, University Psychiatric Center, Catholic University Leuven, Kortenberg, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>ADHD Program, University Psychiatric Center, Catholic University Leuven, Kortenberg</wicri:regionArea>
<wicri:noRegion>Kortenberg</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Asherson, Philip" sort="Asherson, Philip" uniqKey="Asherson P" first="Philip" last="Asherson">Philip Asherson</name>
<affiliation wicri:level="3">
<nlm:aff id="I27">MRC Social Genetic and Developmental Psychiatry, Institute of Psychiatry, Kings College London, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>MRC Social Genetic and Developmental Psychiatry, Institute of Psychiatry, Kings College London, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">BMC Psychiatry</title>
<idno type="eISSN">1471-244X</idno>
<imprint>
<date when="2010">2010</date>
</imprint>
</series>
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<textClass></textClass>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Attention deficit hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that persists into adulthood in the majority of cases. The evidence on persistence poses several difficulties for adult psychiatry considering the lack of expertise for diagnostic assessment, limited treatment options and patient facilities across Europe.</p>
</sec>
<sec>
<title>Methods</title>
<p>The European Network Adult ADHD, founded in 2003, aims to increase awareness of this disorder and improve knowledge and patient care for adults with ADHD across Europe. This Consensus Statement is one of the actions taken by the European Network Adult ADHD in order to support the clinician with research evidence and clinical experience from 18 European countries in which ADHD in adults is recognised and treated.</p>
</sec>
<sec>
<title>Results</title>
<p>Besides information on the genetics and neurobiology of ADHD, three major questions are addressed in this statement: (1) What is the clinical picture of ADHD in adults? (2) How can ADHD in adults be properly diagnosed? (3) How should ADHD in adults be effectively treated?</p>
</sec>
<sec>
<title>Conclusions</title>
<p>ADHD often presents as an impairing lifelong condition in adults, yet it is currently underdiagnosed and treated in many European countries, leading to ineffective treatment and higher costs of illness. Expertise in diagnostic assessment and treatment of ADHD in adults must increase in psychiatry. Instruments for screening and diagnosis of ADHD in adults are available and appropriate treatments exist, although more research is needed in this age group.</p>
</sec>
</div>
</front>
<back>
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