ADHD Diagnosis and Treatment Guidelines: A Historical Perspective

Pediatrics. 2019 Oct;144(4):e20191682. doi: 10.1542/peds.2019-1682.

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is the most common behavioral condition and the second most common chronic illness in children. The observance of specific behaviors in multiple settings have remained the most successful method for diagnosing the condition, and although there are differences in specific areas of the brain, and a high heritability estimate (∼76%), they are not diagnostically specific. Medications, and particularly stimulant medication, have undergone rigorous studies to document their efficacy dating back to the 1970s. Likewise, behavioral interventions in the form of parent training and classroom programs have demonstrated robust efficacy during the same time period. Both medication and behavioral interventions are symptomatic treatments. The availability of only symptomatic treatments places ADHD in the same category as other chronic conditions such as diabetes and asthma. Successful treatment of most individuals requires ongoing adherence to the therapy. Improved communication between patients and their families, primary and mental health providers, and school personnel is necessary for effective ADHD treatment. Further enhancement of electronic systems to facilitate family, school, and provider communication can improve monitoring of ADHD symptoms and functional performance. The American Academy of Pediatrics ADHD guidelines were initially developed to help primary care clinicians address the needs of their patients with ADHD and were further refined with the second revision in 2019.

Publication types

  • Historical Article

MeSH terms

  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / therapy*
  • Central Nervous System Stimulants / therapeutic use
  • Child
  • Child Behavior
  • Decision Support Systems, Clinical
  • Diagnostic and Statistical Manual of Mental Disorders
  • History, 20th Century
  • History, 21st Century
  • Humans
  • Parenting
  • Practice Guidelines as Topic
  • Quality Improvement
  • Quality of Health Care
  • Software
  • Transition to Adult Care

Substances

  • Central Nervous System Stimulants