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Second Edition: Diagnosis and Treatment of ADHD in Adolescents

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Guest Editor

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Assistant Guest Editor
Department of Child and Adolescent Psychiatry, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan
Interests: child and adolescent psychiatry; neuropsychoendocrinology; psychiatry epidemiology; psychopharmacology
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Assistant Guest Editor
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195, USA
Interests: child and adolescent psychiatry; addiction

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Assistant Guest Editor
Department of Psychiatry, Taipei Veterans General Hospital, Tapei 112, Taiwan
Interests: child and adolescent psychiatry; resistant depression; secondary data analysis

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Assistant Guest Editor
Department of Psychiatry, National Taiwan University Hospital, Tapei 112, Taiwan
Interests: child and adolescent psychiatry; autism spectrum disorder

Special Issue Information

Dear Colleagues,

Assessing and managing attention-deficit/hyperactivity disorder (ADHD) in adolescence are unique challenges to physicians. Research has established that nearly 80% of children with ADHD continue to experience symptoms into the adolescent years and suffer from significant disability. There are many factors affecting physicians’ comfort and ability to screen, diagnose and treat adolescent ADHD. First, many of the ADHD symptoms listed in the Diagnostic and Statistical Manual of Mental DisordersFifth Edition (DSM-5) diagnostic criteria are primarily written for younger children and may not be applicable to adolescents. Some of the ADHD symptoms, such as extreme hyperactivity, may be more subtle in adolescents than in younger children. Second, obtaining reliable reports of adolescents’ current and past symptoms from parents and teachers is more difficult. Third, the presence of comorbidities, such as mood disorders and substance use disorder, may complicate the diagnosis of ADHD. Fourth, demands for all adolescents grow with expected increases in responsibility, planning, future orientation and organization, yet these are the key areas that are problematic for those with ADHD. Thus, it can be difficult to determine if the adolescent is exhibiting “typical immaturity” within the range of the healthy adolescence or ADHD. The consequences of ADHD symptoms during the adolescent years can have profound long-term impacts for the individuals. Thus, this Special Issue is open to researchers to submit empirical studies associated with the diagnosis and treatment of ADHD in adolescents. This issue is also open to the submission of studies investigating the risk factors of adolescent ADHD and risk-taking behaviors in adolescents with ADHD. The studies can provide knowledge to diminish scientific gaps in research on adolescent ADHD. 

Prof. Dr. Cheng-Fang Yen
Dr. Liang-Jen Wang
Dr. Ray C. Hsiao
Dr. Mu-Hong Chen
Dr. Yi-Ling Chien
Guest Editors

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Keywords

  • attention-deficit/hyperactivity disorder
  • adolescent

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Related Special Issue

Published Papers (3 papers)

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Research

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11 pages, 344 KiB  
Article
Difficulties in Managing Children’s Learning among Caregivers of Children with Attention-Deficit/Hyperactivity Disorder during the COVID-19 Pandemic in Taiwan: Association with Worsened Behavioral and Emotional Symptoms
by Chao-Ying Chen, Jung-Sheng Chen, Chung-Ying Lin, Ray C. Hsiao, Ching-Shu Tsai and Cheng-Fang Yen
Int. J. Environ. Res. Public Health 2022, 19(21), 13722; https://doi.org/10.3390/ijerph192113722 - 22 Oct 2022
Cited by 6 | Viewed by 1857
Abstract
School closures during the COVID-19 pandemic have interfered with children’s learning. The aim of this study was to investigate the difficulties in managing children’s learning at home and attending afterschool learning programs and their related factors among caregivers of children with attention-deficit/hyperactivity disorder [...] Read more.
School closures during the COVID-19 pandemic have interfered with children’s learning. The aim of this study was to investigate the difficulties in managing children’s learning at home and attending afterschool learning programs and their related factors among caregivers of children with attention-deficit/hyperactivity disorder (ADHD) during the COVID-19 pandemic. In total, 252 caregivers of children with ADHD completed a questionnaire collecting difficulties in managing children’s learning, parenting styles, children’s worsened symptoms of ADHD, oppositional defiant disorder (ODD) and emotion, and increased Internet use. Multivariate logistic regression models were used to examine the factors related to caregiver difficulties in managing children’s learning and children’s worsened ADHD, ODD, and emotional symptoms. In total, 85.3% of the caregivers had difficulty in asking their children to learn at home; 28.2% had difficulty in taking children to afterschool learning programs. Children’s worsened anger was significantly associated with higher caregiver difficulty in asking children to learn at home, whereas parental overprotection was significantly associated with lower caregiver difficulty in asking children to learn at home. Worsened hyperactivity and opposition were significantly associated with higher caregiver difficulty in taking children to attend afterschool learning programs. Interventions for enhancing caregivers’ skills to manage children’s learning and children’s behavioral and emotional symptoms should take the related factors found in this study into consideration. Full article
(This article belongs to the Special Issue Second Edition: Diagnosis and Treatment of ADHD in Adolescents)
15 pages, 972 KiB  
Article
Neurological Mechanisms of Diagnosis and Therapy in School Children with ADHD in Poland
by Małgorzata Nermend, Kinga Flaga-Gieruszyńska, Zdzisław Kroplewski and Kesra Nermend
Int. J. Environ. Res. Public Health 2022, 19(13), 7615; https://doi.org/10.3390/ijerph19137615 - 22 Jun 2022
Cited by 3 | Viewed by 2340
Abstract
The paper aims to present a holistic view of attention deficit hyperactivity disorder (ADHD) in pedagogical, psychological, legal, and social dimensions in Polish schools. The authors present the benefits of neurofeedback therapy for elementary school pupils. In order to verify the validity, the [...] Read more.
The paper aims to present a holistic view of attention deficit hyperactivity disorder (ADHD) in pedagogical, psychological, legal, and social dimensions in Polish schools. The authors present the benefits of neurofeedback therapy for elementary school pupils. In order to verify the validity, the paper compares the concordance of a medical diagnosis confirming ADHD syndrome with the occurrence of abnormal electrical brain function recording and abnormalities therein as well as the effectiveness of the neurofeedback therapy. The study confirms that the reported problems faced by pupils and affecting their emotional functioning are reflected in their EEG records. Conclusions from the study lead to the proposal that the neurofeedback assessment should be performed at schools, which should result in the implementation of effective therapy. Moreover, the neurofeedback method should be promoted in Polish schools as an alternative to pharmacological therapy, which, as the research proves, is not always effective. Neurofeedback therapy, similarly to behavioral therapy, is very much needed and useful because it provides optimal conditions for the child’s development and shapes their relations with the environment effectively and harmlessly. Full article
(This article belongs to the Special Issue Second Edition: Diagnosis and Treatment of ADHD in Adolescents)
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Review

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13 pages, 720 KiB  
Review
Attention Deficit Hyperactivity Disorder: What Are Pharmacists’ Roles and Associated Outcomes?
by Mohamed Hassan Elnaem, Merna Mahmoud AbouKhatwa, Mahmoud E. Elrggal and Inderpal Singh Dehele
Int. J. Environ. Res. Public Health 2023, 20(3), 2754; https://doi.org/10.3390/ijerph20032754 - 3 Feb 2023
Cited by 2 | Viewed by 3762
Abstract
Globally, the prevalence of attention deficit hyperactivity disorder (ADHD) is increasing. The treatment for ADHD is multifaceted and requires long-term care and support. Pharmacists are capable of assisting patients and their caretakers in achieving desired outcomes. This work discusses and summarizes pharmacists’ roles [...] Read more.
Globally, the prevalence of attention deficit hyperactivity disorder (ADHD) is increasing. The treatment for ADHD is multifaceted and requires long-term care and support. Pharmacists are capable of assisting patients and their caretakers in achieving desired outcomes. This work discusses and summarizes pharmacists’ roles in ADHD care and their associated outcomes. Overall, pharmacists are positioned to educate on ADHD, optimize medications in a collaborative practice model, manage and monitor side effects, and provide remote and virtual pharmaceutical care. Pharmacists could directly contribute to ensuring medication safety and increasing awareness regarding the optimal use of ADHD medications. Patients with ADHD can benefit from pharmacist involvement in a variety of ways, including, but not limited to, initial screening and referral, the provision of clinical consultation and feedback, and the improvement of self-management and self-awareness of the illness. Pharmacists also play a significant role in therapeutic decision making regarding the initiation, intensification, and monitoring of ADHD treatment to ensure its effectiveness and quality of life improvement. Lastly, pharmacists could help identify more cost-effective treatment approaches for ADHD patients based on the clinical scenario that is encountered. Full article
(This article belongs to the Special Issue Second Edition: Diagnosis and Treatment of ADHD in Adolescents)
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