A Regional ADHD Center-Based Network Project for the Diagnosis and Treatment of Children and Adolescents With ADHD

Bonati, Maurizio; Reale, Laura; Zanetti, Michele; Cartabia, Massimo; Fortinguerra, Filomena; Capovilla, Giuseppe; Chiappedi, Matteo; Costantino, Antonella; Effedri, Paola; Luoni, Chiara; Martinelli, Ottaviano; Molteni, Massimo; Ottolini, A.; Saccani, Monica

doi:10.1177/1087054715599573

Cited by 23 publications

(19 citation statements)

References 42 publications

(53 reference statements)

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“…In addition, our current working protocol does not involve a follow-up reassessment of outcomes, which is a crucial aspect to verify the generalization of treatment achievements. Regarding the generalizability of the present study, our sample is in line with the Italian population (Bonati et al 2015), although we acknowledge that the epidemiology of ADHD in Italy is not overlapping with that of other countries, and this constitutes a limitation of our study. The ACT-based cognitive behavioural parent training was completed before the ACT-based cognitive behavioural child training started.…”

Section: Limitations and Future Research Directionsmentioning

confidence: 81%

Clinical Effects of an ACT-Group Training in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder

et al. 2019

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Objective The aim of the present study is evaluate the effectiveness of an Acceptance and Commitment Therapy (ACT)based training protocol, in adjunct to token economy and previous parent training, in a sample of children with Attention-Deficit/Hyperactivity Disorder (ADHD). By promoting the reduction of immediate responses to thoughts and feelings, we aimed to reduce the impulsive behaviour of children and to improve their self-regulation. Methods The protocol was centred on awareness of the present moment, defusion and acceptance of feelings and emotions. Behavioural (Conners' Parent Rating Scale-Revised: Long version, CPRS-R:L) and severity measures (Clinical Global Impression-Severity, CGI-S) were assessed before and after treatment in a clinical sample of 31 children aged 8-13 years. Results At the end of the ACT protocol, children showed significant improvement in global functioning and behavioural symptoms. There were significant improvements in the CPRS subscales Cognitive Problems (p = 0.005), Hyperactivity (p = 0.006), Perfectionism (p = 0.017), ADHD Index (p = 0.023), Global Index: Restless-Impulsive (p = 0.023), Global Index: Total (p = 0.036), DSM IV Inattentive (p = 0.029), DSM IV Hyperactive-Impulsive (p = 0.016), and DSM IV Total (p = 0.003). When controlling for the confounding effect of pharmacological therapy, comorbidities and socioeconomic status, treatment maintained a significant effect on the CPRS subscales Perfectionism (partial η 2 = 0.31, p < 0.01), Global Index: Restless-Impulsive (partial η 2 = 0.29, p < 0.01), Global Index: Total (partial η 2 = 0.31, p < 0.01), DSM IV Hyperactive-Impulsive (partial η 2 = 0.20, p = 0.02). Symptom severity as rated by CGI-S scores decreased in 74.2% of the children. Conclusions This preliminary work on an Acceptance and Commitment Therapy-based child training in children affected by ADHD resulted in significant improvements, measured by a rating scale specific for ADHD. Keywords ADHD • Acceptance and Commitment Therapy • Rehabilitation • Conners parent rating scale • Child training Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurobehavioral disorder common in childhood, with symptoms including troubles in paying and maintaining attention, hyperactivity and impulsive behaviour. The

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Section: Limitations and Future Research Directionsmentioning

confidence: 81%

Clinical Effects of an ACT-Group Training in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder

et al. 2019

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“…The National Institute for Health and Care Excellence guidelines recommend that pharmacological treatment should be initiated when ADHD symptoms are persistent and still causing significant impairment in at least one domain every day despite the implementation and review of environmental modifications (National Institute for Health & Care Excellence, 2018). The Regional ADHD Registry in Italy found that 44% of children and adolescents with ADHD had a severe impairment as indicated by a Clinical Global Impressions-Severity score of 5 or higher (Bonati et al in press). Given the ADHD prevalence of 3.4–7.2% (Polanczyk et al 2015; Thomas et al 2015) and the ratio of severely impaired ADHD (Bonati et al in press), 1.5–3.2% of children and adolescents would benefit from pharmacological treatment.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, incidence and persistence of ADHD drug use in Japan

Okumura

Usami

Okada

et al. 2018

Epidemiol Psychiatr Sci

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“…The DSM-5 lists 16 conditions or groups of conditions to be distinguished from ADHD, many of which can also occur as comorbidities. A list of developmental and behavioural conditions that are commonly mistaken for ADHD is presented in Table 2 (41).…”

Section: Differential Diagnosesmentioning

confidence: 99%

ADHD in children and youth: Part 1—Etiology, diagnosis, and comorbidity

Bélanger

Andrews

Gray

et al. 2018

Paediatrics &Amp; Child Health

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A Regional ADHD Center-Based Network Project for the Diagnosis and Treatment of Children and Adolescents With ADHD

Abstract: A continuous and systematic monitoring of patterns of care is essential in promoting significant improvements in clinical practice and ensuring an efficient and homogeneous quality of care.

Cited by 23 publications

References 42 publications

Clinical Effects of an ACT-Group Training in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder

Clinical Effects of an ACT-Group Training in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder

Prevalence, incidence and persistence of ADHD drug use in Japan

ADHD in children and youth: Part 1—Etiology, diagnosis, and comorbidity

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