J Korean Neuropsychiatr Assoc.  2016 Nov;55(4):343-356. 10.4306/jknpa.2016.55.4.343.

Clinical Practice Guidelines for Major Comorbid Disorders with Attention-Deficit Hyperactivity Disorder

• Hyun GJ
• Kim B
• Kim BN
• Kim JI
• Park JH
• Bahn GH
• Lee MS
• Lee SI
• Lee YS
• Han DH

• KMID: 2361223
• DOI: http://doi.org/10.4306/jknpa.2016.55.4.343

Abstract

Attention-deficit hyperactivity disorder (ADHD) occurs with a high prevalence of comorbid disorders, and these comorbid disorders can affect assessment, clinical symptoms, prognosis, and treatment strategies for children with ADHD. The goal of this study was to develop a clinical practice guideline for ADHD and its specific comorbid disorders. Due to limited numbers of previous clinical studies, current recommendations are based on literature review and expert consensus among Korean child and adolescent psychiatrists. We suggest the use of multidisciplinary evaluations, interview techniques, and assessment tools in order to differentiate major comorbid disorders from ADHD. Specific ADHD comorbid disorders (e.g., medical comorbidity, oppositional defiant disorder, conduct disorder, bipolar disorder, major depressive disorder, anxiety disorder, specific learning disorder, tic disorder, and substance use disorder) have suggested treatment protocols that include pharmacological and behavioral treatments. Children and adolescents with ADHD may have comorbid disorders. The use of current clinical practice guidelines will be helpful when treating ADHD children with comorbid disorders.

Keyword

Attention-deficit hyperactivity disorder; Comorbidity; Clinical guidelines; Assessment; Treatment

MeSH Terms

Adolescent
Anxiety Disorders
Attention Deficit and Disruptive Behavior Disorders
Bipolar Disorder
Child
Clinical Protocols
Comorbidity
Conduct Disorder
Consensus
Depressive Disorder, Major
Humans
Prevalence
Prognosis
Psychiatry
Specific Learning Disorder
Tic Disorders

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