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European clinical guidelines for hyperkinetic disorder -- first upgrade
Eric Taylor1, Manfred Döpfner, Joseph Sergeant
1Dept. of Child & Adolescent Psychiatry, Institute of Psychiatry Kings College London, de Crespigny Park, London, SE5 8AF, UK. e.taylor@iop.kcl.ac.uk
Background:
The validity of clinical guidelines changes over time, because new evidence-based knowledge and experience develop.
Objective:
Hence, the European clinical guidelines on hyperkinetic disorder from 1998 had to be evaluated and modified.
Method:
Discussions at the European Network for Hyperkinetic Disorders (EUNETHYDIS) and iterative critique of each clinical analysis. Guided by evidence-based information and based on evaluation (rather than metaanalysis) of the scientific evidence a group of child psychiatrists and psychologists from several European countries updated the guidelines of 1998. When reliable information is lacking the group gives a clinical consensus when it could be found among themselves.
Results:
The group presents here a set of recommendations for the conceptualization and management of hyperkinetic disorder and attention deficit/hyperactivity disorder (ADHD).
Conclusion:
A general scheme for practice in Europe could be provided, on behalf of the European Society for Child and Adolescent Psychiatry (ESCAP).