Diagnosis and management of ADHD : a pediatric perspective on practice and challenges in Switzerland

Zysset, Annina; Robin, Dominik; Albermann, Kurt; Dratva, Julia; Hotz, Sandra; Wieber, Frank; von Rhein, Michael

doi:10.1186/s12887-023-03873-x

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-27237

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Diagnosis and management of ADHD : a pediatric perspective on practice and challenges in Switzerland
Authors:	Zysset, Annina Robin, Dominik Albermann, Kurt Dratva, Julia Hotz, Sandra Wieber, Frank von Rhein, Michael
et. al:	No
DOI:	10.1186/s12887-023-03873-x 10.21256/zhaw-27237
Published in:	BMC Pediatrics
Volume(Issue):	23
Issue:	1
Page(s):	103
Issue Date:	4-Mar-2023
Publisher / Ed. Institution:	BioMed Central
ISSN:	1471-2431
Language:	English
Subjects:	ADHD; ADHD diagnosis; ADHD management; ADHD treatment; Guideline; Pediatrician
Subject (DDC):	618.92: Pediatrics
Abstract:	Background Attention deficit/hyperactivity disorder (ADHD) is one of the most prevalent psychiatric disorders in childhood. In Switzerland, the complex diagnosis and treatment are being carried out by adolescent−/child psychiatrists, and pediatricians. Guidelines recommend a multimodal therapy for patients with ADHD. However, it has been questioned whether health professionals follow this approach or favor drug therapy. This study aims to provide insights into the practice of pediatricians in Switzerland regarding diagnosis and treatment of ADHD and their perceptions of these processes. Method An online survey (self-report) about current practices of diagnosis and management as well as challenges regarding ADHD was distributed to office-based pediatricians in Switzerland. One hundred fifty-one pediatricians participated. Results show that therapy options were almost always discussed with parents and older children. Exchange with parents (81%) and level of child’s suffering (97%) were central when selecting therapy options. Results Therapies about which pediatricians informed most often were: pharmacological therapy, psychotherapy, and multimodal therapy. Challenges voiced were the subjectivity of diagnostic criteria and dependence on third parties, low availability of psychotherapy, and a rather negative public attitude towards ADHD. Needs that were expressed were further education for all professionals, support for coordination with specialists and schools as well as improvement of information on ADHD. Conclusions Pediatricians do consider a multimodal approach when treating ADHD and take the families` and children’s opinions into account. Improvements of the availability of child and youth psychotherapy, the strengthening of the interprofessional cooperation with therapists and schools, and efforts to increase public knowledge about ADHD are proposed.
URI:	https://digitalcollection.zhaw.ch/handle/11475/27237
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Public Health (IPH)
Published as part of the ZHAW project:	Fine motor skills in school-aged Children with ADHD: A case-control study using digital pens (FAST)
Appears in collections:	Publikationen Gesundheit

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Zysset, A., Robin, D., Albermann, K., Dratva, J., Hotz, S., Wieber, F., & von Rhein, M. (2023). Diagnosis and management of ADHD : a pediatric perspective on practice and challenges in Switzerland. BMC Pediatrics, 23(1), 103. https://doi.org/10.1186/s12887-023-03873-x

Zysset, A. et al. (2023) ‘Diagnosis and management of ADHD : a pediatric perspective on practice and challenges in Switzerland’, BMC Pediatrics, 23(1), p. 103. Available at: https://doi.org/10.1186/s12887-023-03873-x.

A. Zysset et al., “Diagnosis and management of ADHD : a pediatric perspective on practice and challenges in Switzerland,” BMC Pediatrics, vol. 23, no. 1, p. 103, Mar. 2023, doi: 10.1186/s12887-023-03873-x.

ZYSSET, Annina, Dominik ROBIN, Kurt ALBERMANN, Julia DRATVA, Sandra HOTZ, Frank WIEBER und Michael VON RHEIN, 2023. Diagnosis and management of ADHD : a pediatric perspective on practice and challenges in Switzerland. BMC Pediatrics. 4 März 2023. Bd. 23, Nr. 1, S. 103. DOI 10.1186/s12887-023-03873-x

Zysset, Annina, Dominik Robin, Kurt Albermann, Julia Dratva, Sandra Hotz, Frank Wieber, and Michael von Rhein. 2023. “Diagnosis and Management of ADHD : A Pediatric Perspective on Practice and Challenges in Switzerland.” BMC Pediatrics 23 (1): 103. https://doi.org/10.1186/s12887-023-03873-x.

Zysset, Annina, et al. “Diagnosis and Management of ADHD : A Pediatric Perspective on Practice and Challenges in Switzerland.” BMC Pediatrics, vol. 23, no. 1, Mar. 2023, p. 103, https://doi.org/10.1186/s12887-023-03873-x.