Journal List > J Korean Neuropsychiatr Assoc > v.55(4) > 1017817

Hyun, Kim, Kim, Kim, Park, Bahn, Lee, Lee, Lee, and Han: Clinical Practice Guidelines for Major Comorbid Disorders with Attention-Deficit Hyperactivity Disorder

Abstract

Attention-deficit hyperactivity disorder (ADHD) occurs with a high prevalence of comorbid disorders, and these comorbid disorders can affect assessment, clinical symptoms, prognosis, and treatment strategies for children with ADHD. The goal of this study was to develop a clinical practice guideline for ADHD and its specific comorbid disorders. Due to limited numbers of previous clinical studies, current recommendations are based on literature review and expert consensus among Korean child and adolescent psychiatrists. We suggest the use of multidisciplinary evaluations, interview techniques, and assessment tools in order to differentiate major comorbid disorders from ADHD. Specific ADHD comorbid disorders (e.g., medical comorbidity, oppositional defiant disorder, conduct disorder, bipolar disorder, major depressive disorder, anxiety disorder, specific learning disorder, tic disorder, and substance use disorder) have suggested treatment protocols that include pharmacological and behavioral treatments. Children and adolescents with ADHD may have comorbid disorders. The use of current clinical practice guidelines will be helpful when treating ADHD children with comorbid disorders.

Figures and Tables

Table 1

Comparison of characteristics in ADHD and psychiatric comorbid disorders

jkna-55-343-i001

ADHD : Attention-deficit hyperactivity disorder

Table 2

Clinical guidelines for psychiatric comorbidity of ADHD

jkna-55-343-i002

ADHD : Attention-deficit hyperactivity disorder, SSRI : Selective serotonin reuptake inhibitor

Notes

Conflicts of Interest The authors have no financial conflicts of interest.

Appendices

Appendix 1

jkna-55-343-a001
ADHD : Attention-deficit hyperactivity disorder

Appendix 2

jkna-55-343-a002
ADHD : Attention-deficit hyperactivity disorder, SSRI : Selective serotonin reuptake inhibitor

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