PMID- 27269883
OWN - NLM
STAT- MEDLINE
DCOM- 20161216
LR  - 20181202
IS  - 1502-4725 (Electronic)
IS  - 0803-9488 (Linking)
VI  - 70
IP  - 8
DP  - 2016 Nov
TI  - Parent-reported symptoms, impairment, helpfulness of treatment, and unmet service 
      needs in a follow-up of outpatient children with attention-deficit/hyperactivity 
      disorder.
PG  - 582-90
LID - 10.1080/08039488.2016.1187204 [doi]
AB  - BACKGROUND: Limited information exists regarding the associations between 
      impairment, symptoms, helpfulness of treatments, and service needs after initial 
      treatment of children with attention-deficit/hyperactivity disorder (ADHD). AIMS: 
      The aims of this study were to examine persistence rates and associations between 
      parent-reported symptoms, impairment, helpfulness of treatments, and service 
      needs in a retrospective follow-up study of children with ADHD. METHODS: Parents 
      of 214 children with a mean age of 12.6 years (SD = 2.1) who were diagnosed with 
      ADHD at five child and adolescent mental health clinics (CAMHS) completed 
      questionnaires 1-10 years (mean = 3.7 years, SD = 2.2) after baseline assessment. 
      The response rate was 43.4%. A community comparison group (n = 110) was recruited 
      from the same area. RESULTS: Approximately two-thirds (60.3%) of the sample 
      fulfilled the DSM-IV symptom criteria of ADHD at follow-up, 84.3% were 
      functionally impaired, and most children (84.7%) were on medication. Inattentive 
      and emotional symptoms were the strongest predictors of impairment across 
      impairment areas. Perceived helpfulness of different treatments varied from 
      71.8-88.7%, and no significant difference was found between the ADHD sub-groups 
      regarding reported helpfulness. 'Adjustment of the school situation' was the most 
      frequent service need, and approximately half of the parents reported needs for 
      care co-ordination. Children fulfilling the symptom criteria of the ADHD Combined 
      sub-group were most impaired and had most service needs. CONCLUSIONS: At 
      follow-up, children were highly symptomatic and impaired, despite a high rate of 
      persistent medication treatment. The findings underline the need for more 
      tailored treatment and co-ordinated care over time.
FAU - Sollie, Henrik
AU  - Sollie H
AD  - a Department of Child and Adolescent Mental Health , Kristiansund Hospital, More 
      and Romsdal Health Trust , Norway ;
AD  - b Faculty of Medicine , Regional Centre for Child and Youth Mental Health and 
      Child Welfare (RKBU), Norwegian University of Science and Technology (NTNU) , 
      Trondheim , Norway.
FAU - Larsson, Bo
AU  - Larsson B
AD  - b Faculty of Medicine , Regional Centre for Child and Youth Mental Health and 
      Child Welfare (RKBU), Norwegian University of Science and Technology (NTNU) , 
      Trondheim , Norway.
LA  - eng
PT  - Journal Article
DEP - 20160607
PL  - England
TA  - Nord J Psychiatry
JT  - Nordic journal of psychiatry
JID - 100927567
SB  - IM
MH  - Adolescent
MH  - Ambulatory Care Facilities/trends
MH  - Attention Deficit Disorder with Hyperactivity/*diagnosis/epidemiology/*psychology
MH  - Child
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - Female
MH  - Follow-Up Studies
MH  - Health Services Needs and Demand/*trends
MH  - Humans
MH  - Male
MH  - Norway/epidemiology
MH  - Outpatients/*psychology
MH  - Parents/*psychology
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
OTO - NOTNLM
OT  - ADHD
OT  - children
OT  - follow-up
OT  - impairment
OT  - service needs
EDAT- 2016/06/09 06:00
MHDA- 2016/12/17 06:00
CRDT- 2016/06/09 06:00
PHST- 2016/06/09 06:00 [entrez]
PHST- 2016/06/09 06:00 [pubmed]
PHST- 2016/12/17 06:00 [medline]
AID - 10.1080/08039488.2016.1187204 [doi]
PST - ppublish
SO  - Nord J Psychiatry. 2016 Nov;70(8):582-90. doi: 10.1080/08039488.2016.1187204. 
      Epub 2016 Jun 7.