Psychosocial interventions for improving the physical health of young people and adults with attention deficit hyperactivity disorder: a scoping review.

Autor: Ward JH; 2.05 South Cloisters, 2.05 South Cloisters, St Luke's Campus, University of Exeter Medical School, Heavitree Road, Exeter, EX2 4TH, UK. j.ward6@exeter.ac.uk.; Royal Devon University NHS Foundation Trust, Exeter, UK. j.ward6@exeter.ac.uk.; Department of Psychiatry, University of Oxford, Oxford, UK. j.ward6@exeter.ac.uk.; Oxford Health NHS Foundation Trust, Oxford, UK. j.ward6@exeter.ac.uk., McBride A; 2.05 South Cloisters, 2.05 South Cloisters, St Luke's Campus, University of Exeter Medical School, Heavitree Road, Exeter, EX2 4TH, UK., Price A; 2.05 South Cloisters, 2.05 South Cloisters, St Luke's Campus, University of Exeter Medical School, Heavitree Road, Exeter, EX2 4TH, UK., Delgado TN; 2.05 South Cloisters, 2.05 South Cloisters, St Luke's Campus, University of Exeter Medical School, Heavitree Road, Exeter, EX2 4TH, UK.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2024 Aug 20; Vol. 24 (1), pp. 569. Date of Electronic Publication: 2024 Aug 20.
DOI: 10.1186/s12888-024-06009-2
Abstrakt: Background: Young people and adults with ADHD are at risk of a range of physical health problems. There is limited guidance on how to approach health problems in ADHD, and especially around 16-25 year olds who will be transitioning from paediatric to adult care. The aim of this scoping review was to identify psychosocial interventions that target physical health in young people and adults with ADHD.
Methods: We constructed searches in MEDLINE, PsycInfo, EMBASE of adolescents, young people and adults. Inclusion criteria were; studies of psychosocial interventions examining a component of physical health, applicable to people aged 16-25, with clinical or research diagnoses of ADHD. Data were extracted using a data extraction tool and tabulated, including study intervention framing/aims, population, intervention, and relevant outcomes (including specific statistics where relevant).
Results: Our search identified 22 unique papers covering, psychosocial interventions targeting at least one of sleep (n=7), smoking (n=3), substance/alcohol use (n=4), physical health/exercise (n=6) and general health (n=3). Studies examined psychotherapy/behaviour interventions (n=12), psychoeducation (n=4), digital (n=2) and social interventions (n=4). There was significant heterogeneity in intervention framing, outcome measures and population.
Conclusion: Further work on the impact of targeted physical health interventions, with explicit reference to a conceptual framework of poor health in ADHD is required. Furthermore, future work standardising reporting of physical health outcomes in ADHD is crucial for the development of an evidence base in this field.
(© 2024. The Author(s).)
Databáze: MEDLINE
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