Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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The Revised Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder (II) - Diagnosis and Assessment -

주의력결핍 과잉행동장애 한국형 치료 권고안 개정안(II) - 진단 및 평가 -

  • Lee, Moon-Soo (Department of Psychiatry, Korea University College of Medicine) ;
  • Park, Su-Bin (National Center of Mental Health) ;
  • Kim, Gyung-Mee (Department of Psychiatry, Inje University College of Medicine, Haeundae Paik Hospital) ;
  • Kim, Hyun-Jin (Department of Psychiatry, Chungnam National University College of Medicine, Chungnam National University Hospital) ;
  • Park, Sangwon (Department of Psychiatry, Korea University College of Medicine) ;
  • Kim, Yunsin (Department of Psychiatry, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital) ;
  • Lee, Young Sik (Department of Psychiatry, Chung-Ang University College of Medicine) ;
  • Kweon, Yong-sil (Department of Psychiatry, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Shin, Dongwon (Department of Psychiatry, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital)
  • 이문수 (고려대학교 의과대학 정신건강의학교실) ;
  • 박수빈 (국립정신건강센터) ;
  • 김경미 (인제대학교 의과대학 해운대백병원 정신건강의학교실) ;
  • 김현진 (충남대학교 의과대학 충남대학교병원 정신건강의학교실) ;
  • 박상원 (고려대학교 의과대학 정신건강의학교실) ;
  • 김윤신 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실) ;
  • 이영식 (중앙대학교 의과대학 정신건강의학교실) ;
  • 권용실 (가톨릭대학교 의과대학 의정부성모병원 정신건강의학교실) ;
  • 신동원 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실)
  • Received : 2017.02.13
  • Accepted : 2017.03.11
  • Published : 2017.04.01
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Abstract

Attention-deficit hyperactivity disorder (ADHD) is a highly prevalent, impairing, and comorbid disorder that persists into adulthood. ADHD should be diagnosed in the same manner as other common adult mental health disorders. The three most important components in the comprehensive evaluation of patients with ADHD are the clinical interview, medical examination, and completion and scoring of behavior rating scales. The diagnostic evaluation of ADHD should include questions about the symptoms, family history, prior evaluation and treatment of ADHD, as well as other problems including alcohol and drug use. Screening interviews or rating scales, as well as interviews, should be used. When it is feasible, clinicians may wish to supplement these components of the evaluation with the objective assessments of the ADHD symptoms, such as through psychological tests. These tests are not essential to reaching a diagnosis, however, or to treatment planning, but may yield further information about the presence and severity of cognitive impairments that could be associated with some cases of ADHD. As comorbidity is the rule rather than the exception, clinicians should carefully screen for comorbid disorders as part of a comprehensive assessment of ADHD. To receive a diagnosis of ADHD, the person must be experiencing significant distress or impairment in his or her daily functioning, and must not meet the criteria for other mental disorders which might better account for the observed symptoms, such as mental retardation, autism or other pervasive developmental disorders, mood disorders and anxiety disorders. This report aims to suggest practice guidelines for the assessment and diagnosis of children, adolescents and adults with ADHD in Korea.

Keywords

References

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