Title: Diagnostics and treatment of ADHD in Switzerland : a physician perspective on practice and challenges: Julia Dratva
Authors : Wieber, Frank
Hotz, S.
Albermann, K.
Dratva, Julia
von Rhein, M.
Published in : European journal of public health
Volume(Issue) : 28
Issue : suppl_4
Pages : 382
Pages to: 383
Publisher / Ed. Institution : Oxford University Press
Issue Date: 2018
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subjects : ADHD; Diagnostics; Treatment; Paediatrician; Multimodal approach; Psychotherapy; Pharmacological therapy; Interprofessional cooperation; MPH; Methylphenidate
Subject (DDC) : 616.8: Neurology, diseases of nervous system
Abstract: Background Attention deficit/hyperactivity disorder (ADHD) is a major public health problem with numerous negative outcomes for the affected individuals and with a high burden to families and society. Although a multimodal therapeutic approach (i.e., pharmacological treatment as well as non-pharmaceutical treatment options) is considered the gold standard, the observed increasing methylphenidate (MPH) treatment could correspond to a reduced use of other treatments options. This study therefore aims to providing insights into the actual practice of paediatricians as well as perceived challenges during the diagnosis and treatment. Methods An online survey on diagnostic and therapy procedures, personal attitudes, and perceived challenges regarding ADHD was sent to the members of the Swiss Society for Paediatrics. With 151 questionnaires that were analyzed, response rate was low (9.3%). Results Paediatricians reported the exchange with parents and children as well as the suffering of the children to be central when selecting a therapy. On average, they arrange three meetings with parents, of which two take place with the concerned child. They also report including information from several sources before arriving at a diagnosis. Pharmacological therapy was most frequent, followed by psychotherapy, and occupational therapy. Challenges mentioned were: the subjective character of the diagnosis and frequent co-morbidities, limited resources for case management, limited availability of child and youth psychiatry and psychotherapy, and unfavorable public attitudes toward medication. Conclusions Paediatricians do consider a multimodal approach when treating ADHD and show a high involvement of family and child in the choice of therapy. However, they highlight the potential of improving the cooperation with other specialists, such as teachers and school social workers, and of improving the availability of psychotherapy and information on ADHD.
Departement: Health Professions
Organisational Unit: Institute of Health Sciences (IGW)
Publication type: Article in scientific Journal
DOI : 10.1093/eurpub/cky214.212
ISSN: 1101-1262
1464-360X
URI: https://digitalcollection.zhaw.ch/handle/11475/14258
Published as part of the ZHAW project : Kinder fördern: eine interdisziplinäre Studie zum Umgang mit ADHS
Appears in Collections:Publikationen Gesundheit

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