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Comparison of Attention-Deficit/Hyperactivity Disorder Practice in Adults According to a Training Background in Child Psychiatry
J Korean Acad Child Adolesc Psychiatry 2019; 30(3): 121-126
Published online July 1, 2019
© 2019 Korean Academy of Child and Adolescent Psychiatry.

Minha Hong1, Seung-Yup Lee2, Young Sik Lee3, Bongseog Kim4, Yoo Sook Joung5, Hanik K Yoo6, Eui-Jung Kim7, Soyoung Irene Lee8, Su-Bin Park9, Soo-Young Bhang10, Doughyun Han3, and Geon Ho Bahn2

1Department of Psychiatry, Myongji Hospital, Hanyang University College of Medicine, Seoul, Korea
2Department of Psychiatry, Kyung Hee University School of Medicine, Seoul, Korea
3Department of Psychiatry, Chung-Ang University College of Medicine, Seoul, Korea
4Department of Psychiatry, Inje University College of Medicine, Seoul, Korea
5Department of Psychiatry, Sungkyunkwan University College of Medicine, Seoul, Korea
6Seoul Brain Research Institute, Seoul, Korea
7Department of Psychiatry, College of Medicine, Ewha Womans University, Seoul, Korea
8Department of Psychiatry, Soonchunhyang University College of Medicine, Buchun, Korea
9National Center for Mental Health, Seoul, Korea
10Department of Psychiatry, Eulji University Hospital, Eulji University School of Medicine, Seoul, Korea
Correspondence to: Geon Ho Bahn, Department of Psychiatry, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea
Tel: +82-2-958-8556, Fax: +82-2-957-1997, E-mail:
Received June 12, 2019; Revised June 19, 2019; Accepted June 21, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objectives: Awareness of attention-deficit/hyperactivity disorder (ADHD) in adults has significantly increased; however, clinical data specific to the Korean population are insufficient. Clinical experience of ADHD may differ based on whether psychiatrists have received pediatric psychiatry-specific training. In order to prepare a practice parameter for adult ADHD patients in Korea, we examined questionnaire data to observe how pediatric psychiatry training could affect clinical practice for adults with ADHD.
Methods: A questionnaire about the diagnosis and treatment process was distributed to both general psychiatrists (GPsy) and child and adolescent psychiatrists (CAP) at the summer and winter workshop meetings of Korean Academy of Child and Adolescent Psychiatry.
Results: In total, 142 psychiatrists participated in the survey (86 GPsy, 56 CAP). GPsy and CAP preferred pharmacotherapy (GPsy 82.40%, CAP 64.30%) as the primary treatment option and answered that the clinical psychiatric interview is the most necessary step in diagnostic assessment (GPsy 22.16%, CAP 19.00%). The GPsy responded with an optimal and average treatment duration that was shorter than that reported by CAP.
Conclusion: Identification of the initial presenting symptom as the correct diagnosis and the optimal duration of pharmacotherapy differed between GPsy and CAP in practice, whereas concepts in diagnosis and treatment of ADHD in adults were similar for both groups. These results suggest the urgent need for the Continuing Medical Education program for psychiatrists treating adults with ADHD.
Keywords : Adult; Attention deficit hyperactivity disorder; Practice pattern; Experts.

July 2019, 30 (3)
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