|Title:||Diagnostics and treatment of ADHD in Switzerland : a physician perspective on practice and challenges: Julia Dratva|
|Authors :||Wieber, Frank|
von Rhein, M.
|Published in :||European journal of public health|
|Publisher / Ed. Institution :||Oxford University Press|
|License (according to publishing contract) :||Licence according to publishing contract|
|Type of review:||Peer review (Publication)|
|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.|
|Organisational Unit:||Institute of Health Sciences (IGW)|
|Publication type:||Article in scientific Journal|
|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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