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Clinical practice guidelines for attention-deficit/hyperactivity disorder: a review
1Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, 3811 O'Hara St., Pittsburgh, PA 15213, USA. buksteinog@upmc.edu
Clinical practice guidelines for attention-deficit/hyperactivity disorder (ADHD) offer complementary recommendations for diagnosis and treatment. These guidelines emphasize a structured, patient-centered approach, including medication and therapy, for effective ADHD management.
Area of Science:
- Neuroscience
- Psychiatry
- Public Health
Background:
- Attention-deficit/hyperactivity disorder (ADHD) has significant public health implications.
- Numerous clinical practice guidelines (CPGs) have been developed to address ADHD.
- CPGs provide systematically developed recommendations for healthcare decisions.
Purpose of the Study:
- To review nine existing CPGs for ADHD.
- To analyze their development processes and recommendations.
- To assess the evidence base for recommended clinical actions.
Main Methods:
- Systematic review of nine ADHD CPGs.
- Analysis of guideline development methodologies.
- Evaluation of recommended diagnostic and treatment strategies.
- Assessment of evidence supporting recommendations.
Main Results:
- CPGs for ADHD, despite variations, are largely complementary.
- Consistent recommendations include structured diagnosis and treatment.
- All CPGs advocate for addressing comorbidities and lifelong management.
- Medication (stimulants) and psychosocial therapies are commonly recommended.
- Patient-centered care is advised, though less evidence-based.
Conclusions:
- Existing ADHD CPGs provide a cohesive framework for clinical practice.
- A structured, comprehensive, and patient-centered approach is crucial for ADHD management.
- Further research may strengthen the evidence base for patient-centered elements in ADHD care.
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