What's new in attention-deficit/hyperactivity disorder: updates on assessment and management. Issue 8 (August 2022)

• Record Type: Journal Article
• Authors: Sanwo, Olatokunbo; Huzair, Hifzi
• Is Part Of: Paediatrics and child health. Volume 32:Issue 8(2022)
• Page Start: 282
• Page End: 289
• Publication Date: 2022-08
• Subjects: ADHD -- diagnosis -- neurodevelopment -- QbTest; Pediatrics -- Periodicals; Pediatrics -- Periodicals; Pédiatrie -- Périodiques; 618.920005
• DOI: 10.1016/j.paed.2022.05.002
• Languages: English
• ISSNs: 1751-7222

Abstract

Abstract: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition typically associated with hyperactivity, impulsivity and inattention. While the prevalence in the UK has been relatively stable over the last few years, groups such as those with other neurodevelopmental disorders or those known to the youth justice system, have a higher prevalence than the average population, while other groups, such as girls with the inattention-subtype, are recognized as being underrepresented. As an increasing proportion of children require an ADHD assessment, the time taken to reach a diagnosis has significantly increased, which in some cases can cause prolonged functional impairment. Via the introduction of the QbTest, a continuous performance test which incorporates motor activity measurement, symptoms of ADHD can be assessed objectively, alongside traditional tools of rating scales and clinical observation. The QbTest has also been shown to be useful in to be useful in monitoring treatment effects of stimulant and non-stimulant medication on ADHD symptoms. Alongside recommendations for assessment, the NICE guideline update in 2018 made a number of recommendations, focusing on increasing involvement and empowerment of the young person, and promoting person-centred care. This short article offers an overview of the recent advances in assessment and management of ADHD for healthcare professionals working with children and young people who may be affected.