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

  • Bahn, Geon Ho (Department of Psychiatry, Kyung Hee University School of Medicine) ;
  • Lee, Young Sik (Department of Psychiatry, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Yoo, Hanik K. (Seoul Brain Research Institute) ;
  • Kim, Eui-Jung (Department of Psychiatry, College of Medicine, Ewha Womans University) ;
  • Park, Subin (Department of Research Planning, Mental Health Research Institute, National Center for Mental Health) ;
  • Han, Doug Hyun (Department of Psychiatry, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Hong, Minha (Department of Psychiatry, Myongji Hospital, Hanyang University College of Medicine) ;
  • Kim, Bongseog (Department of Psychiatry, Inje University College of Medicine) ;
  • Lee, Soyoung Irene (Department of Psychiatry, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Bhang, Soo Young (Department of Psychiatry, Eulji University School of Medicine) ;
  • Lee, Seung Yup (Department of Psychiatry, Kyung Hee University School of Medicine) ;
  • Hong, Jin Pyo (0Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Joung, Yoo-Sook (0Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2019.08.26
  • Accepted : 2019.09.19
  • Published : 2020.01.01

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

References

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