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ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

作者:Mark L. Wolraich, Joseph F. Hagan, Carla Allan, Eugenia Chan, Dale Davison, Marian Earls, Steven W Evans, Susan K. Flinn, Tanya Froehlich, Jennifer Frost, Joseph R Holbrook, Christoph U. Lehmann, Herschel R. Lessin, Kymika Okechukwu, Karen Pierce, Jonathan D. Winner, W Zurhellen · 发表于:PEDIATRICS · 年份:2011 · DOI:10.1542/peds.2011-2654 · 被引用次数:2203 · 研究领域:Attention Deficit Hyperactivity Disorder、Children's Physical and Motor Development

has been revised to the fifth edition, and new ADHD-related research has been published. These publications do not support dramatic changes to the previous recommendations. Therefore, only incremental updates have been made in this guideline revision, including the addition of a key action statement related to diagnosis and treatment of comorbid conditions in children and adolescents with ADHD. The accompanying process of care algorithm has also been updated to assist in implementing the guideline recommendations. Throughout the process of revising the guideline and algorithm, numerous systemic barriers were identified that restrict and/or hamper pediatric clinicians' ability to adopt their recommendations. Therefore, the subcommittee created a companion article (available in the Supplemental Information) on systemic barriers to the care of children and adolescents with ADHD, which identifies the major systemic-level barriers and presents recommendations to address those barriers; in this article, we support the recommendations of the clinical practice guideline and accompanying process of care algorithm.