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Development of the Korean Practice Parameter for Adult Attention-Deficit/Hyperactivity Disorder
J Korean Acad Child Adolesc Psychiatry
Published online December 2, 2019
© 2019 Korean Academy of Child and Adolescent Psychiatry.

Geon Ho Bahn1*, Young Sik Lee2*, Hanik K Yoo3, Eui-Jung Kim4, Subin Park5, Doug Hyun Han2, Minha Hong6, Bongseog Kim7, Soyoung Irene Lee8, Soo Young Bhang9, Seung Yup Lee1, Jin Pyo Hong10, and Yoo-Sook Joung10

1Department of Psychiatry, Kyung Hee University School of Medicine, Seoul, Korea
2Department of Psychiatry, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea
3Seoul Brain Research Institute, Seoul, Korea
4Department of Psychiatry, College of Medicine, Ewha Womans University, Seoul, Korea
5Department of Research Planning, Mental Health Research Institute, National Center for Mental Health, Seoul, Korea
6Department of Psychiatry, Myongji Hospital, Hanyang University College of Medicine, Seoul, Korea
7Department of Psychiatry, Inje University College of Medicine, Seoul, Korea
8Department of Psychiatry, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Buchun, Korea
9Department of Psychiatry, Eulji University School of Medicine, Seoul, Korea
10Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Correspondence to: Yoo-Sook Joung, Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea
Tel: +82-2-3410-3589, Fax: +82-2-3410-0550, E-mail: yschoung@skku.edu
*These authors contributed equally to this work.
Received August 26, 2019; Revised September 18, 2019; Accepted September 19, 2019.
Abstract
Objectives: Adult attention-deficit/hyperactivity disorder (ADHD) is an important mental health problem that needs resolution, especially considering the high rates of ADHD continuation from childhood to adolescence/adulthood and the high prevalence of ADHD in adults. Adults with ADHD have lifelong negative impacts and require close monitoring with long-term follow-up. Hence, the establishment of a Korean practice parameter for adult ADHD is necessary to minimize discontinuation of treatment and enable information sharing among Korean mental health professionals.
Methods: The Korean practice parameter was developed using an evidence-based approach consisting of expert consensus survey coupled with literature review.
Results: According to the expert consensus survey, the most commonly used diagnostic methods were clinical psychiatric interview (20.66%) and self-report scales (19.25%) followed by attention (14.71%) and psychological tests (14.24%). Key evaluation instruments currently available in Korea are the World Health Organization Adult ADHD Self-Report Rating Scale, Korean Adult ADHD Rating Scale, Diagnostic Interview for ADHD in Adults, Barkley Deficits in Executive Functioning Scale for adults, Comprehensive Attention Test, Conners’ Continuous Performance Test, and the subtests of Wechsler Adult Intelligence Scale, Digit Span and Letter-Number Sequencing. Although pharmacotherapy is recommended as the first-line of treatment for adult ADHD, we recommend that it be followed by a multimodal and multidisciplinary approach including psychoeducation, pharmacotherapy, cognitive behavior therapy and coaching.
Conclusion: The Korean practice parameter introduces not only general information for the diagnosis and treatment of adult ADHD on a global scale, but also the process of diagnosis and treatment options tailored to the Korean population.
Keywords : Practice parameter; Korean; Adult; Attention deficit/hyperactivity disorder; Evaluation; Treatment.


October 2019, 30 (4)
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