지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.3
- 수록면
- 25 - 37 (13page)
이용수
초록· 키워드
오류제보하기
Objectives：This study was conducted to develop a Korean algorithm of pharmacological and non-pharmacological treatment strategies in attention-deficit hyperactivity disorder (ADHD) and its specific comorbid disorders (e.g. tic disorder, depressive disorder, anxiety disorder, bipolar disorder, and oppositional defiant disorder/conduct disorder).
Methods：Based on a literature review and expert consensus, both paper- and web-based survey tools were developed with respect to a comprehensive range of questions. Most options were scored using a 9-point scale for rating the appropriateness of medical decisions. For the other options, the surveyed experts were asked to provide answers (e.g., duration of treatment, average dosage) or check boxes to indicate their preferred answers. The survey was performed on-line in a self-administered manner. Ultimately, 49 Korean child & adolescent psychiatrists, who had been considered experts in the treatment of ADHD, voluntarily completed the questionnaire. In analyzing the responses to items rated using the 9-point scale, consensus on each option was defined as a non-random distribution of scores as determined by a chi-square test. We assigned a categorical rank (first line/preferred choice, second line/alternate choice, third line/usually inappropriate) to each option based on the 95% confidence interval around the mean rating score.
Results：Specific medication strategies for key clinical situations in ADHD and its comorbid disorders were indicated and described. We organized the suggested algorithms of ADHD treatment mainly on the basis of the opinions of the Korean experts. The suggested algorithm was constructed according to the templates of the Texas Child & Adolescent medication algorithm Project (CMAP).
Conclusion：We have proposed a Korean treatment algorithm for ADHD, both with and without comorbid disorders through expert consensus and a broad literature review. As the tools available for ADHD treatment evolve, this algorithm could be reorganized and modified as required to suit updated scientific and clinical research findings.
Methods：Based on a literature review and expert consensus, both paper- and web-based survey tools were developed with respect to a comprehensive range of questions. Most options were scored using a 9-point scale for rating the appropriateness of medical decisions. For the other options, the surveyed experts were asked to provide answers (e.g., duration of treatment, average dosage) or check boxes to indicate their preferred answers. The survey was performed on-line in a self-administered manner. Ultimately, 49 Korean child & adolescent psychiatrists, who had been considered experts in the treatment of ADHD, voluntarily completed the questionnaire. In analyzing the responses to items rated using the 9-point scale, consensus on each option was defined as a non-random distribution of scores as determined by a chi-square test. We assigned a categorical rank (first line/preferred choice, second line/alternate choice, third line/usually inappropriate) to each option based on the 95% confidence interval around the mean rating score.
Results：Specific medication strategies for key clinical situations in ADHD and its comorbid disorders were indicated and described. We organized the suggested algorithms of ADHD treatment mainly on the basis of the opinions of the Korean experts. The suggested algorithm was constructed according to the templates of the Texas Child & Adolescent medication algorithm Project (CMAP).
Conclusion：We have proposed a Korean treatment algorithm for ADHD, both with and without comorbid disorders through expert consensus and a broad literature review. As the tools available for ADHD treatment evolve, this algorithm could be reorganized and modified as required to suit updated scientific and clinical research findings.
목차
서론
방법
알고리듬의 제작
결과
고찰
결론
References
참고문헌 (46)
참고문헌 신청
Brown RT / 2001 / Prevalence and assessment of attention-deficit/hyperactivity disorder in primary care settings / Pediatrics 107:43
Rowland AS / 2002 / The epidemiology of attention-deficit/hyperactivity disorder (ADHD): a public health view / Ment Retard Dev Disabil Res Rev 8:162~170
Kim JY / 1999 / Screening for Attention Deficit/Hyperactivity Disorder in Community Mental Health Services for Children / Kor J Neuropsychiatr Assoc 38:784~793
Cho SC / 2009 / Full syndrome and subthreshold attention-deficit/hyperactivity disorder in a Korean community sample: comorbidity and tempera-ment findings / Eur Child Adolesc Psychiatry 18:447~457
Kessler RC / 2006 / The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication / Am J Psychiatry 163:716~723
Rowland AS / 2002 / The epidemiology of attention-deficit/hyperactivity disorder (ADHD): a public health view / Ment Retard Dev Disabil Res Rev 8:162~170
Kim JY / 1999 / Screening for Attention Deficit/Hyperactivity Disorder in Community Mental Health Services for Children / Kor J Neuropsychiatr Assoc 38:784~793
Cho SC / 2009 / Full syndrome and subthreshold attention-deficit/hyperactivity disorder in a Korean community sample: comorbidity and tempera-ment findings / Eur Child Adolesc Psychiatry 18:447~457
Kessler RC / 2006 / The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication / Am J Psychiatry 163:716~723
이 논문의 저자 정보
이 논문과 함께 이용한 논문
가상현실 기반 인지재활 콘텐츠를 위한 영상 인식 및 군집화
최권택
디지털콘텐츠학회논문지
2017
.11
특수교육 대상자로서 ADHD 아동의 지원 모형 개발
강민채
한국콘텐츠학회논문지
2017
.08
가상현실재활시스템 적용에 따른 뇌졸중 환자의 일상생활활동, 인지기능, 자아존중감의 개선효과
김영근
한국산학기술학회 논문지
2015
.08
한국 경도인지장애 노인을 위한 인지기능 향상 프로그램의 효과 : 메타분석
김경윤
,
이은주
성인간호학회지
2017
.04
주의력결핍 과잉행동장애 한국형 치료 권고안 개정안(Ⅱ) : 진단 및 평가
이문수
,
박수빈
,
김경미
외 6명
소아청소년정신의학
2017
.04
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2014-516-000676177