Adult Outcome of Child and Adolescent Attention Deficit Hyperactivity Disorder in a Primary Care Setting

ArticleinSouthern Medical Journal 97(9):823-6 · October 2004with5 Reads
DOI: 10.1097/01.SMJ.0000129931.63727.10 · Source: PubMed
To determine the adult status of children and adolescents previously diagnosed with attention deficit hyperactivity disorder (ADHD). From a consecutive sample, a case series from a primary care, private physician, office-based practice was evaluated. Seventy-seven adults were eligible, having been diagnosed with ADHD as children and adolescents by Diagnostic and Statistical Manual of Mental Disorders, Revised Third and Fourth Editions criteria. Seventy-three adults were available for interviews. Parents and/or significant others were also interviewed. The same criteria used originally were employed in the adult follow-up analysis. Main outcome measures included rates of adult ADHD, other psychiatric disorders, and educational attainment. Of 73 participants, only 4 (5.5%) had retained ADHD into adulthood. Sixty-nine (94.5%) did not have adult ADHD. The majority of the cohort did not exhibit any disabling psychopathology, and most had achieved positive educational attainment. Adult follow-up of children and adolescents diagnosed with ADHD shows adult ADHD is rare in primary care. The data suggests that clinicians can have the greatest impact on ADHD by concentrating on the evaluation and management of children and adolescents with the disorder.
    • "A five-year follow-up study conducted by August et al. (1998) demonstrated that an ADHD diagnosis continues at a 69% rate (August et al. 1998). Another follow-up study, which was carried out in a first-step health care unit, revealed that 5.5% of young adults had met the criteria for an ADHD diagnosis in their adult period (McCormick 2004). Steinhausen et al. (2003) reported that, after a mean 2.6 years follow-up duration, ADHD continued at a 46% rate (Steinhausen et al. 2003). "
    Full-text · Article · Feb 2014 · Official journal of the South African Academy of Family Practice/Primary Care
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    Article · Oct 2007
  • [Show abstract] [Hide abstract] ABSTRACT: Background: Attention-Deficit Hyperactivity Disorder (ADHD) is a common disorder, affecting 4% to 5% of South African children. Recent studies reveal that 30% to 70% of children continue to experience problems related to ADHD in adulthood. Adults are becoming increasingly aware of adult ADHD as a result of public awareness campaigns in the media. Their first line of action is to visit their family physician (GP), but the question that arises is whether these practitioners are ready to take on patients with ADHD. The aims of this study were to determine the familiarity, attitudes and practices of general practitioners (GPs) in South Africa with regard to ADHD in both children and adults, and whether there are differences in children and adults with regard to depression and generalised anxiety disorders as comorbid disorders. The study also briefly explored the training models of GPs in South Africa.
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