[article]
| Titre : |
Practitioner Review: Assessment and treatment of preschool children with attention-deficit/hyperactivity disorder |
| Type de document : |
Texte imprimé et/ou numérique |
| Auteurs : |
J. M. HALPERIN, Auteur ; D. J. MARKS, Auteur |
| Article en page(s) : |
p.930-943 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
Attention-deficit/hyperactivity disorder assessment intervention preschool children |
| Index. décimale : |
PER Périodiques |
| Résumé : |
BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) often emerges during the preschool years and remains impairing throughout the life span. Early identification and intervention may yield lasting benefits that alter the often-adverse trajectory of the disorder. METHODS: This Practitioner Review provides up-to-date information regarding the evaluation and treatment of ADHD in preschool children. The clinical presentation of ADHD in preschool children, its persistence into later childhood, the applicability of DSM-5 criteria for preschoolers with ADHD, and early predictors of long-term trajectories are addressed, as well as current findings from randomized controlled trials of both nonpharmacological and pharmacological interventions. RESULTS: Symptoms of hyperactivity/impulsivity extend down to age 3, but several inattention symptoms, as defined by DSM-V, less accurately differentiate preschoolers with and without ADHD. Most preschool youth with ADHD symptoms continue to manifest symptoms and impairment into school-age and adolescence. However, few predictors of persistence beyond early severity have been identified. Behavioral interventions constitute a first-line treatment for preschool ADHD symptoms, with telepsychiatry increasing in prominence to help to mitigate financial, geographic, and/or logistical barriers to care. Pharmacological interventions, particularly psychostimulants, also confer demonstrable benefits, yet efficacy and safety profiles are less desirable relative to findings in school-age youth. CONCLUSIONS: Acute treatments have demonstrable efficacy, but do not appear to fundamentally alter underlying mechanisms or long-term trajectories. |
| En ligne : |
http://dx.doi.org/10.1111/jcpp.13014 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=405 |
in Journal of Child Psychology and Psychiatry > 60-9 (September 2019) . - p.930-943
[article] Practitioner Review: Assessment and treatment of preschool children with attention-deficit/hyperactivity disorder [Texte imprimé et/ou numérique] / J. M. HALPERIN, Auteur ; D. J. MARKS, Auteur . - p.930-943. Langues : Anglais ( eng) in Journal of Child Psychology and Psychiatry > 60-9 (September 2019) . - p.930-943
| Mots-clés : |
Attention-deficit/hyperactivity disorder assessment intervention preschool children |
| Index. décimale : |
PER Périodiques |
| Résumé : |
BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) often emerges during the preschool years and remains impairing throughout the life span. Early identification and intervention may yield lasting benefits that alter the often-adverse trajectory of the disorder. METHODS: This Practitioner Review provides up-to-date information regarding the evaluation and treatment of ADHD in preschool children. The clinical presentation of ADHD in preschool children, its persistence into later childhood, the applicability of DSM-5 criteria for preschoolers with ADHD, and early predictors of long-term trajectories are addressed, as well as current findings from randomized controlled trials of both nonpharmacological and pharmacological interventions. RESULTS: Symptoms of hyperactivity/impulsivity extend down to age 3, but several inattention symptoms, as defined by DSM-V, less accurately differentiate preschoolers with and without ADHD. Most preschool youth with ADHD symptoms continue to manifest symptoms and impairment into school-age and adolescence. However, few predictors of persistence beyond early severity have been identified. Behavioral interventions constitute a first-line treatment for preschool ADHD symptoms, with telepsychiatry increasing in prominence to help to mitigate financial, geographic, and/or logistical barriers to care. Pharmacological interventions, particularly psychostimulants, also confer demonstrable benefits, yet efficacy and safety profiles are less desirable relative to findings in school-age youth. CONCLUSIONS: Acute treatments have demonstrable efficacy, but do not appear to fundamentally alter underlying mechanisms or long-term trajectories. |
| En ligne : |
http://dx.doi.org/10.1111/jcpp.13014 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=405 |
|
Practitioner Review: Assessment and treatment of preschool children with attention-deficit/hyperactivity disorder in Journal of Child Psychology and Psychiatry, 60-9 (September 2019)
