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Titre du document / Document title

Lifespan Persistence of ADHD: The Life Transition Model and Its Application

Auteur(s) / Author(s)

ADHD Transition Phase Model Working Group, ETATS-UNIS
TURGAY Atilla (1) ; GOODMAN David W. (2) ; ASHERSON Philip (3) ; LASSER Robert A. (4) ; BABCOCK Thomas F. (4) ; PUCCI Michael L. (5) ; BARKLEY Russell (6) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Toronto ADHD Clinic, University of Toronto, Toronto, Ontario, CANADA
(2) Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, ETATS-UNIS
(3) MRC Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, London, ROYAUME-UNI
(4) Shire Development Inc, Wayne, Pennsylvania, ETATS-UNIS
(5) SCI Scientific Communications and Information, Parsippany, New Jersey, ETATS-UNIS
(6) Department of Psychiatry, Medical University of South Carolina, Charleston, and Department of Psychiatry, SUNY Upstate Medical University, Syracuse, New York, ETATS-UNIS

Résumé / Abstract

Background: The understanding that attention-deficit/hyperactivity disorder (ADHD) often persists throughout life has heightened interest of patients, families, advocates, and professionals in a longitudinal approach to management. Such an approach must recognize and address known patient- and systems-based challenges of long-term mental health treatment, shifting of clinical presentations of ADHD, and commonality of psychiatric comorbidity with ADHD. Objective: The ADHD Life Transition Model is a step toward developing criteria to optimize recognition and clinical management of ADHD (eg, response, remission) across an individual's lifespan and across diverse medical subspecialties. To support therapeutic efficiency and adaptability, our proposed model highlights periods when external resources for managing ADHD are reduced, cognitive and behavioral stressors are increased, and individuals may be reevaluating how they perceive, accept, and adhere to ADHD treatment. Such a model aims to support the clinical community by placing in context new findings, which suggest that the prevention of adult psychopathology in individuals with pediatric ADHD may be possible. Conclusions:The ADHD Life Transition Model seeks to improve care for individuals with ADHD by (1) underscoring that ADHD persists beyond childhood in at least two-thirds of patients, (2) raising awareness of the need to approach ADHD from a chronic illness standpoint, and (3) increasing mental health professionals'diligence in symptom recognition and management of ADHD across developmental phases from childhood through adulthood.

Revue / Journal Title

The Journal of clinical psychiatry    ISSN  0160-6689 

Source / Source

2012, vol. 73, no2, pp. 192-201 [10 page(s) (article)] (129 ref.)

Langue / Language

Anglais

Editeur / Publisher

Physicians Postgraduate Press, Memphis, TN, ETATS-UNIS  (1978) (Revue)

Mots-clés anglais / English Keywords

Human

;

Review

;

Treatment

;

Recognition

;

Clinical management

;

Chronic disease

;

Theoretical model

;

Development

;

Attention disorder with hyperactivity

;

Persistence

;

Mots-clés français / French Keywords

Homme

;

Article synthèse

;

Traitement

;

Reconnaissance

;

Conduite à tenir

;

Maladie chronique

;

Modèle théorique

;

Développement

;

Trouble déficitaire de l'attention avec hyperactivité

;

Persistance

;

Mots-clés espagnols / Spanish Keywords

Hombre

;

Artículo síntesis

;

Tratamiento

;

Reconocimiento

;

Actitud médica

;

Enfermedad crónica

;

Modelo teórico

;

Desarrollo

;

Trastorno por déficit de atención e hiperactividad

;

Persistencia

;

Localisation / Location

INIST-CNRS, Cote INIST : 9069, 35400050679787.0080

Nº notice refdoc (ud4) : 25538681



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