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dc.contributor.authorWieber, Frank-
dc.contributor.authorHotz, Sandra-
dc.contributor.authorAlbermann, Kurt-
dc.contributor.authorDratva, Julia-
dc.contributor.authorvon Rhein, Michael-
dc.date.accessioned2019-01-09T12:59:22Z-
dc.date.available2019-01-09T12:59:22Z-
dc.date.issued2018-
dc.identifier.issn1101-1262de_CH
dc.identifier.issn1464-360Xde_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/14258-
dc.description.abstractBackground: 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: Pediatricians 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: Pediatricians 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.de_CH
dc.language.isoende_CH
dc.publisherOxford University Pressde_CH
dc.relation.ispartofEuropean Journal of Public Healthde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectADHDde_CH
dc.subjectDiagnosticsde_CH
dc.subjectTreatmentde_CH
dc.subjectPaediatriciande_CH
dc.subjectMultimodal approachde_CH
dc.subjectPsychotherapyde_CH
dc.subjectPharmacological therapyde_CH
dc.subjectInterprofessional cooperationde_CH
dc.subjectMPHde_CH
dc.subjectMethylphenidatede_CH
dc.subject.ddc616.8: Neurologie und Krankheiten des Nervensystemsde_CH
dc.titleDiagnostics and treatment of ADHD in Switzerland : a physician perspective on practice and challengesde_CH
dc.typeKonferenz: Posterde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Public Health (IPH)de_CH
dc.identifier.doi10.1093/eurpub/cky214.212de_CH
zhaw.funding.euNode_CH
zhaw.issuesuppl_4de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end383de_CH
zhaw.pages.start382de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume28de_CH
zhaw.publication.reviewPeer review (Abstract)de_CH
zhaw.webfeedFamilie und Aufwachsende_CH
zhaw.webfeedKinder- und Jugendhilfede_CH
zhaw.webfeedKlinische Psychologiede_CH
zhaw.webfeedSoziale Arbeit und Schulede_CH
zhaw.funding.zhawKinder fördern: eine interdisziplinäre Studie zum Umgang mit ADHSde_CH
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Wieber, F., Hotz, S., Albermann, K., Dratva, J., & von Rhein, M. (2018). Diagnostics and treatment of ADHD in Switzerland : a physician perspective on practice and challenges [Conference poster]. European Journal of Public Health, 28(suppl_4), 382–383. https://doi.org/10.1093/eurpub/cky214.212
Wieber, F. et al. (2018) ‘Diagnostics and treatment of ADHD in Switzerland : a physician perspective on practice and challenges’, in European Journal of Public Health. Oxford University Press, pp. 382–383. Available at: https://doi.org/10.1093/eurpub/cky214.212.
F. Wieber, S. Hotz, K. Albermann, J. Dratva, and M. von Rhein, “Diagnostics and treatment of ADHD in Switzerland : a physician perspective on practice and challenges,” in European Journal of Public Health, 2018, vol. 28, no. suppl_4, pp. 382–383. doi: 10.1093/eurpub/cky214.212.
WIEBER, Frank, Sandra HOTZ, Kurt ALBERMANN, Julia DRATVA und Michael VON RHEIN, 2018. Diagnostics and treatment of ADHD in Switzerland : a physician perspective on practice and challenges. In: European Journal of Public Health. Conference poster. Oxford University Press. 2018. S. 382–383
Wieber, Frank, Sandra Hotz, Kurt Albermann, Julia Dratva, and Michael von Rhein. 2018. “Diagnostics and Treatment of ADHD in Switzerland : A Physician Perspective on Practice and Challenges.” Conference poster. In European Journal of Public Health, 28:382–83. Oxford University Press. https://doi.org/10.1093/eurpub/cky214.212.
Wieber, Frank, et al. “Diagnostics and Treatment of ADHD in Switzerland : A Physician Perspective on Practice and Challenges.” European Journal of Public Health, vol. 28, no. suppl_4, Oxford University Press, 2018, pp. 382–83, https://doi.org/10.1093/eurpub/cky214.212.


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