Females with ADHD: An expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women

Autor: Quinton Deeley, Nicoletta Adamo, Bryndis Bjork Asgeirsdottir, Jack Hollingdale, Susan Young, Jane Sedgwick, Polly Branney, Gisli H. Gudjonsson, Emma Woodhouse, Ozge Kilic, Kevin Tierney, Caroline Skirrow, Sri Perecherla, Eleni Paliokosta, Sally Cubbin, Emad Farrag, William Colley, Kobus van Rensburg, Michelle Beckett, Peter Mason, Tony Lloyd, Peter J. Hill
Přispěvatelé: KILIÇ, ÖZGE, Sálfræðideild (HR), Department of Psychology (RU), Samfélagssvið (HR), School of Social Sciences (RU), Háskólinn í Reykjavík, Reykjavik University, Kılıç, Özge, Young, Susan, Adamo, Nicoletta, Asgeirsdottir, Bryndis Bjork, Branney, Polly, Beckett, Michelle, Colley, William, Cubbin, Sally, Deeley, Quinton, Farrag, Emad, Gudjonsson, Gisli, Hill, Peter, Hollingdale, Jack, Lloyd, Tony, Mason, Peter, Paliokosta, Eleni, Perecherla, Sri, Sedgwick, Jane, Skirrow, Caroline, Tierney, Kevin, van Rensburg, Kobus, Woodhouse, Emma, Koç University Hospital
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Identification
Samkomulag
Girls
Psychological intervention
Comorbidity
UKAP The UK ADHD partnership
Presentation
0302 clinical medicine
Stúlkur
lcsh:Psychiatry
Attention
030212 general & internal medicine
Konur
Meðferð
Interventions
media_common
Psychiatry
Geðheilsa
Meðvirkni
Psychiatry and Mental health
Identification (information)
Attention-deficit/hyperactivity disorder (ADHD)
Consensus
Female
Treatment
UKAP
Women
Clinical psychology
Research Article
Referral
lcsh:RC435-571
media_common.quotation_subject
Longevity
03 medical and health sciences
Geðrækt
mental disorders
medicine
ADHD
Attention deficit hyperactivity disorder
Humans
Snemmtæk íhlutun
Greiningarsálfræði
business.industry
Perspective (graphical)
medicine.disease
Mental health
United Kingdom
030227 psychiatry
Attention Deficit Disorder with Hyperactivity
business
Zdroj: BMC Psychiatry
BMC Psychiatry, Vol 20, Iss 1, Pp 1-27 (2020)
ISSN: 1471-244X
Popis: Publisher's version (útgefin grein)
Background There is evidence to suggest that the broad discrepancy in the ratio of males to females with diagnosed ADHD is due, at least in part, to lack of recognition and/or referral bias in females. Studies suggest that females with ADHD present with differences in their profile of symptoms, comorbidity and associated functioning compared with males. This consensus aims to provide a better understanding of females with ADHD in order to improve recognition and referral. Comprehensive assessment and appropriate treatment is hoped to enhance longer-term clinical outcomes and patient wellbeing for females with ADHD. Methods The United Kingdom ADHD Partnership hosted a meeting of experts to discuss symptom presentation, triggers for referral, assessment, treatment and multi-agency liaison for females with ADHD across the lifespan. Results A consensus was reached offering practical guidance to support medical and mental health practitioners working with females with ADHD. The potential challenges of working with this patient group were identified, as well as specific barriers that may hinder recognition. These included symptomatic differences, gender biases, comorbidities and the compensatory strategies that may mask or overshadow underlying symptoms of ADHD. Furthermore, we determined the broader needs of these patients and considered how multi-agency liaison may provide the support to meet them. Conclusions This practical approach based upon expert consensus will inform effective identification, treatment and support of girls and women with ADHD. It is important to move away from the prevalent perspective that ADHD is a behavioural disorder and attend to the more subtle and/or internalised presentation that is common in females. It is essential to adopt a lifespan model of care to support the complex transitions experienced by females that occur in parallel to change in clinical presentation and social circumstances. Treatment with pharmacological and psychological interventions is expected to have a positive impact leading to increased productivity, decreased resource utilization and most importantly, improved long-term outcomes for girls and women.
The meeting was funded by the UK ADHD Partnership (UKAP), who has been in receipt of unrestricted educational donations from Takeda. Takeda had no influence or involvement in determining the topic and arrangements of the day, the consensus process and outcomes, or writing the final manuscript. Other than reimbursement of travel expenses to attend the meeting, none of the authors received any financial compensation for attending the meeting or writing the manuscript, aside from CS who received funds for medical writing assistance.
"Peer Reviewed"
Databáze: OpenAIRE
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