J Korean Acad Child Adolesc Psychiatry.
2019 Jul;30(3):121-126. 10.5765/jkacap.190020.
Comparison of Attention-Deficit/Hyperactivity Disorder Practice in Adults According to a Training Background in Child Psychiatry
- Affiliations
-
- 1Department of Psychiatry, Myongji Hospital, Hanyang University College of Medicine, Seoul, Korea.
- 2Department of Psychiatry, Kyung Hee University School of Medicine, Seoul, Korea. mompeian@khu.ac.kr
- 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.
- KMID: 2452882
- DOI: http://doi.org/10.5765/jkacap.190020
Abstract
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.
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