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

Area of Science:

• Psychiatry
• Neurodevelopmental Disorders
• Clinical Practice Guidelines

Background:

• Adult attention-deficit/hyperactivity disorder (ADHD) presents significant challenges due to high continuation rates from childhood and its lifelong impact.
• Effective management requires close monitoring and long-term follow-up.
• A standardized practice parameter is crucial for Korean mental health professionals to ensure consistent care and minimize treatment discontinuation.

Purpose of the Study:

• To establish a Korean practice parameter for the diagnosis and treatment of adult ADHD.
• To provide evidence-based guidelines tailored to the Korean population.
• To facilitate information sharing and improve treatment consistency among healthcare providers.

Main Methods:

• Development of the practice parameter utilized an evidence-based approach.
• Key methodologies included an expert consensus survey and a comprehensive literature review.
• The process aimed to integrate global best practices with local considerations.

Main Results:

• The expert consensus identified clinical psychiatric interviews and self-report scales as primary diagnostic tools.
• A range of evaluation instruments are available in Korea, including the WHO Adult ADHD Self-Report Rating Scale and Korean Adult ADHD Rating Scale.
• Pharmacotherapy is recommended as first-line treatment, followed by a multimodal approach encompassing psychoeducation, cognitive behavior therapy, and coaching.

Conclusions:

• The Korean practice parameter offers a comprehensive guide for adult ADHD diagnosis and treatment.
• It provides general information alongside specific recommendations adapted for the Korean context.
• The parameter aims to optimize care pathways and improve outcomes for adults with ADHD in Korea.