tailieunhanh - Báo cáo y học: " Avoiding the ‘twilight zone’: Recommendations for the transition of services from adolescence to adulthood for young people with ADHD"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Avoiding the ‘twilight zone’: Recommendations for the transition of services from adolescence to adulthood for young people with ADHD | Young et al. BMC Psychiatry 2011 11 174 http 1471-244X 11 174 BMC Psychiatry REVIEW Open Access Avoiding the twilight zone Recommendations for the transition of services from adolescence to adulthood for young people with ADHD Susan Young1 Clodagh M Murphy1 and David Coghill2 Abstract Attention deficit hyperactivity disorder ADHD is a common childhood disorder that frequently persists into adulthood. However in the UK there is a paucity of adult services available for the increasing number of young people with ADHD who are now graduating from child services. Furthermore there is limited research investigating the transition of young people with ADHD from child to adult services and a lack of guidance on how to achieve this effectively. This paper reviews the difficulties of young people with ADHD and their families who are transitioning between services we review transition from the child and adult health teams perspectives and identify barriers to the transition process. We conclude with recommendations on how to develop transition services for young people with ADHD. Background ADHD affects around 3-4 of UK children 1 and has a wide-ranging and detrimental impact on the wellbeing of individuals who may have a range of clinical neuropsychological and psychosocial problems 2 . Common comorbid problems in childhood include oppositional defiant disorder 40 anxiety disorder 34 conduct disorder 14 tics 11 and mood disorder 6 3 4 . As children develop many continue to suffer impairment from their symptoms. A meta-analysis of follow-up studies conducted by Faraone and colleagues 5 found that around 15 of cases continue to meet diagnostic criteria for ADHD at 25 years of age with a further 50 of individuals suffering impairment from residual symptoms of ADHD. Comorbid problems also persist and or develop afresh including anxiety mood problems and substance misuse 6-8 . The presentation of ADHD in adults may be complicated by the chronicity of their .