Profiles, co-morbidity and their relationship to treatment of 191 children with AD/HD and their families.

BACKGROUND: This study was set up to re-audit our use of a protocol for the assessment and treatment for children on psycho-stimulant medication within a community clinic for children with Attention Deficit/Hyperactive Disorder (AD/HD) and to examine the profile of children and their families referr...

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Publicado en:European Child & Adolescent Psychiatry Vol. 13; no. 4; pp. 234 - 243
Autores principales: Thompson MJJ, Brooke XM, West CA, Johnson HR, Bumby EJ, Brodrick P, Pepe G, Laver-Bradbury C, Scott N
Formato: research tables/charts Journal Article
Publicado: Springer Nature 2004
Acceso en línea:Ver este registro en EBSCOhost
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      place: New York, New York
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        atl: Profiles, co-morbidity and their relationship to treatment of 191 children with AD/HD and their families.
      aug:
        au:
          Thompson MJJ
          Brooke XM
          West CA
          Johnson HR
          Bumby EJ
          Brodrick P
          Pepe G
          Laver-Bradbury C
          Scott N
        affil: Ashurst Hospital, Ashurst, Southampton SO40 7AR, UK; mtl@soton.ac.uk
      sug:
        subj:
          Attention Deficit Hyperactivity Disorder Drug Therapy
          Attention Deficit Hyperactivity Disorder Epidemiology
          Family Psychosocial Factors
          Health Status
          Learning Disorders Epidemiology
          Methylphenidate Therapeutic Use
          Adolescence
          Attention Deficit Hyperactivity Disorder Diagnosis
          Checklists
          Child
          Comorbidity
          DSM
          Factor Analysis
          Female
          International Classification of Diseases
          Male
          Methylphenidate Administration and Dosage
          Multivariate Analysis
          P-Value
          Questionnaires
          Severity of Illness Indices
          T-Tests
          Funding Source
          Human
          Adolescent: 13-18 years
          Child: 6-12 years
          Female
          Male
      ab: BACKGROUND: This study was set up to re-audit our use of a protocol for the assessment and treatment for children on psycho-stimulant medication within a community clinic for children with Attention Deficit/Hyperactive Disorder (AD/HD) and to examine the profile of children and their families referred to the clinic in order to consider their assessment and treatment needs. METHOD: A questionnaire based on results from previous studies was completed for 191 patients from a case note audit, and by questioning clinicians. Key areas examined were symptomatology and child and family variables, which included learning difficulties, medical problems, psychosocial factors and side-effects of medication. RESULTS: The protocol was used appropriately with the majority of children. Children with AD/HD referred to the clinic often presented with co-morbid psychopathology, e. g. conduct disorder, low self-esteem, and frequently experienced family and psychosocial difficulties. CONCLUSIONS: Protocols in clinics are useful as this should maintain good practice and allow on-going monitoring, but they need precise use. Also, as many children with AD/HD present with co-morbid psychopathology and complicated family dynamics to Child and Adolescent Mental Health Services, this will influence assessment and treatment needs and require increased resources.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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