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      General practitioners’ attitudes and knowledge about attention-deficit hyperactivity disorder (ADHD): Insights from a survey

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          Abstract

          Objective

          The Review of health services for children, young people and families within the NSW Health system identified that novel models of care were needed to improve access to clinical management for people with ADHD. The present study aimed to evaluate GPs’ knowledge of and attitudes towards ADHD and the challenges and opportunities for a more substantial role for GPs in ADHD management.

          Method

          An online survey of Australian GPs was conducted, with recruitment via email invitation.

          Results

          Out of 230 respondents, 213 surveys could be analysed. Of these, 97% believed ADHD was a genuine condition, with 90% identifying inattention as a primary symptom. Most (92%) had seen and diagnosed ADHD within the past year. Prevalent concerns included inadequate access to specialist assessment and treatment; 77% felt that GPs should have a more substantial role in ADHD management. Barriers included lack of time, knowledge and experience.

          Conclusions

          There was willingness amongst respondents take on a greater role in managing individuals with ADHD. However, a need for further training and education was highlighted. The Australian Evidence-Based Clinical Practice Guideline for ADHD may resolve an identified need for clinical guidance.

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            Key findings from the second Australian Child and Adolescent Survey of Mental Health and Wellbeing.

            To estimate the prevalence of mental disorders in children and adolescents in Australia, and the severity and impact of those mental disorders.
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              Life Span Studies of ADHD—Conceptual Challenges and Predictors of Persistence and Outcome

              There is a renewed interest in better conceptualizing trajectories of attention-deficit/hyperactivity disorder (ADHD) from childhood to adulthood, driven by an increased recognition of long-term impairment and potential persistence beyond childhood and adolescence. This review addresses the following major issues relevant to the course of ADHD in light of current evidence from longitudinal studies: (1) conceptual and methodological issues related to measurement of persistence of ADHD, (2) estimates of persistence rate from childhood to adulthood and its predictors, (3) long-term negative outcomes of childhood ADHD and their early predictors, and (4) the recently proposed new adult-onset ADHD. Estimates of persistence vary widely in the literature, and diagnostic criteria, sample characteristics, and information source are the most important factors explaining variability among studies. Evidence indicates that ADHD severity, comorbid conduct disorder and major depressive disorder, and treatment for ADHD are the main predictors of ADHD persistence from childhood to adulthood. Comorbid conduct disorder and ADHD severity in childhood are the most important predictors of adverse outcomes in adulthood among children with ADHD. Three recent population studies suggested the existence of a significant proportion of individuals who report onset of ADHD symptoms and impairments after childhood. Finally, we highlight areas for improvement to increase our understanding of ADHD across the life span.
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                Author and article information

                Journal
                Australas Psychiatry
                Australas Psychiatry
                spapy
                APY
                Australasian Psychiatry
                SAGE Publications (Sage UK: London, England )
                1039-8562
                1440-1665
                7 November 2023
                February 2024
                : 32
                : 1
                : 18-22
                Affiliations
                [1-10398562231211156]Department of Paediatrics, Ringgold 6488, universityNepean Hospital; , Penrith, NSW, Australia
                [2-10398562231211156]Department of Paediatrics, Ringgold 6488, universityNepean Hospital; , Penrith, NSW, Australia; and Sydney Medical School Nepean, Discipline of Paediatrics, Ringgold 216996, universityThe University of Sydney; , Sydney, NSW, Australia; Faculty of Medicine, universityUniversity of Notre Dame; Australia, Sydney, Australia
                [3-10398562231211156]universityMidtown Medical Clinic General Practice; , Melbourne, VIC, Australia; universityBeach Street Family Practice; , Woolgoolga, NSW, Australia
                [4-10398562231211156]universityUNSW Australia Rural Clinical School; , Coffs Harbour, NSW, Australia; universityBeach Street Family Practice; , Woolgoolga, NSW, Australia
                [5-10398562231211156]Department of Paediatrics, Ringgold 6488, universityNepean Hospital; , Penrith, NSW, Australia; Sydney Medical School Nepean, Discipline of Paediatrics, Ringgold 216996, universityThe University of Sydney; , Sydney, NSW, Australia; and Brain Mind Centre Nepean, Ringgold 216996, universityThe University of Sydney; , Penrith, NSW, Australia
                Author notes
                [*]Alison Poulton, Department of Paediatrics, Nepean Hospital, PO Box 63, Penrith, NSW 2751, Australia. Email: alison.poulton@ 123456sydney.edu.au
                Author information
                https://orcid.org/0000-0002-5867-2403
                Article
                10.1177_10398562231211156
                10.1177/10398562231211156
                10809722
                37936255
                ce5a2f15-e573-4896-bdec-8bf2e7306973
                © The Royal Australian and New Zealand College of Psychiatrists 2023

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Categories
                Attention Deficit Hyperactivity Disorder
                Custom metadata
                ts10

                general practitioners,attention-deficit hyperactivity disorder,adhd in adults,primary care,referral pathways

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