ABSTRACT
El Grupo de Especial Interés en el Trastorno por Déficit de Atención/Hiperactividad (GEITDAH) presenta en este artículo un consenso de expertos de toda España sobre los trastornos de conducta en niños y adolescentes. A partir del trabajo inicial del equipo de la Unidad de Paidopsiquiatría del Hospital Quirón-Teknon de Barcelona, se han consensuado aspectos básicos que podrían ser el punto de partida para futuros consensos. Ha sido también objetivo prioritario del trabajo actualizar en los trastornos de conducta en niños y adolescentes los criterios del Manual diagnóstico y estadístico de los trastornos mentales, quinta edición, y su comorbilidad con el trastorno por déficit de atención/hiperactividad (AU)
In this paper, the Special Interest Group on Attention Deficit Hyperactivity Disorder (GEITDAH, from its name in Spanish) presents a consensus reached by experts from all over Spain on conduct disorders in children and adolescents. Following the initial work by the team at the Pedopsychiatry Unit at the Quirón-Teknon Hospital in Barcelona, agreements have been reached on a number of basic aspects that could be the starting point for future consensuses. A top priority aim of the work was also to update the criteria in the Diagnostic and statistical manual of mental disorders, fifth edition, for conduct disorders in children and adolescents, together with their comorbidity with attention deficit hyperactivity disorder (AU)
Subject(s)
Child , Female , Humans , Male , Child Behavior Disorders , Attention Deficit and Disruptive Behavior Disorders/diagnosis , Attention Deficit and Disruptive Behavior Disorders/epidemiology , Attention Deficit and Disruptive Behavior Disorders/etiology , Attention Deficit and Disruptive Behavior Disorders/therapy , Social Behavior Disorders/diagnosis , Social Behavior Disorders/epidemiology , Social Behavior Disorders/etiology , Social Behavior Disorders/therapy , Epidemiological Monitoring/trends , Attention Deficit Disorder with Hyperactivity , Antisocial Personality Disorder , Parent-Child Relations , Violence , Self Concept , Attitude , Education , Risk Factors , Comorbidity , Spain/epidemiologyABSTRACT
In this paper, the Special Interest Group on Attention Deficit Hyperactivity Disorder (GEITDAH, from its name in Spanish) presents a consensus reached by experts from all over Spain on conduct disorders in children and adolescents. Following the initial work by the team at the Pedopsychiatry Unit at the Quiron-Teknon Hospital in Barcelona, agreements have been reached on a number of basic aspects that could be the starting point for future consensuses. A top priority aim of the work was also to update the criteria in the Diagnostic and statistical manual of mental disorders, fifth edition, for conduct disorders in children and adolescents, together with their comorbidity with attention deficit hyperactivity disorder.
TITLE: Consenso del GEITDAH sobre los trastornos de conducta en niños y adolescentes.El Grupo de Especial Interes en el Trastorno por Deficit de Atencion/Hiperactividad (GEITDAH) presenta en este articulo un consenso de expertos de toda España sobre los trastornos de conducta en niños y adolescentes. A partir del trabajo inicial del equipo de la Unidad de Paidopsiquiatria del Hospital Quiron-Teknon de Barcelona, se han consensuado aspectos basicos que podrian ser el punto de partida para futuros consensos. Ha sido tambien objetivo prioritario del trabajo actualizar en los trastornos de conducta en niños y adolescentes los criterios del Manual diagnostico y estadistico de los trastornos mentales, quinta edicion, y su comorbilidad con el trastorno por deficit de atencion/hiperactividad.
Subject(s)
Conduct Disorder , Adolescent , Adolescent Behavior , Aggression , Antisocial Personality Disorder/diagnosis , Antisocial Personality Disorder/epidemiology , Attention Deficit Disorder with Hyperactivity/epidemiology , Attention Deficit and Disruptive Behavior Disorders/diagnosis , Attention Deficit and Disruptive Behavior Disorders/epidemiology , Authoritarianism , Child , Child Behavior , Child Behavior Disorders/diagnosis , Child, Preschool , Combined Modality Therapy , Comorbidity , Conduct Disorder/diagnosis , Conduct Disorder/epidemiology , Conduct Disorder/etiology , Conduct Disorder/psychology , Conduct Disorder/therapy , Crime , Diagnosis, Differential , Diagnostic and Statistical Manual of Mental Disorders , Executive Function , Humans , Infant , Parent-Child Relations , Parenting , Psychiatric Status Rating Scales , Psychotherapy/methods , Psychotropic Drugs/therapeutic use , Teaching/methods , ViolenceABSTRACT
El TDAH es un trastorno del neurodesarrollo cuyo diagnóstico está basado en criterios clínicos, pues no disponemos actualmente de biomarcadores específicos del trastorno. Los criterios DSM, actualmente la edición 5ª, son los más usados. Se requiere la elaboración de una historia clínica minuciosa que integre diversas fuentes de información. El diagnóstico requiere la persistencia de los síntomas de inatención y/o hiperactividad/impulsividad con una intensidad que interfiere de forma significativa en el funcionamiento del niño en al menos dos ambientes distintos. Se debe explorar en cada caso la presencia de comorbilidad y posible diagnóstico diferencial (AU)
ADHD is a neurodevelopmental disorder whose diagnosis is based on clinical criteria, since not currently have specific biological markers of the disorder. The DSM criteria, currently edition 5th, are the most used. Developing o thorough clinical history that integrates various sources of information is required. Diagnosis requires a persistent pattern of symptoms of inattention and/or hyperactivity/impulsivity with an intensity that interferes significantly in the child's functioning in at least two different settings. Presence of comorbility and differential diagnosis should be explored in each case (AU)
Subject(s)
Humans , Male , Female , Child , Adolescent , Attention Deficit Disorder with Hyperactivity/diagnosis , Comorbidity , Diagnosis, DifferentialABSTRACT
OBJECTIVE: To determine whether the frequency and duration of the periods of suppression of a percept in a binocular rivalry (BR) task can be used to distinguish between participants with ADHD and controls. METHOD: A total of 122 participants (6-15 years) were assigned to three groups: ADHD-Combined (ADHD-C), ADHD-Predominantly Inattentive (ADHD-I), and controls. They each performed a BR task and two measures were recorded: alternation rate and duration of exclusive dominance periods. RESULTS: ADHD-C group presented fewer alternations and showed greater variability than did the control group; results for the ADHD-I group being intermediate between the two. The duration of dominance periods showed a differential profile: In control group, it remained stable over time, whereas in the clinical groups, it decreased logarithmically as the task progressed. CONCLUSION: The differences between groups in relation to the BR indicators can be attributed to the activity of involuntary inhibition.
Subject(s)
Attention Deficit Disorder with Hyperactivity/physiopathology , Attention/physiology , Inhibition, Psychological , Vision, Binocular , Adolescent , Attention Deficit Disorder with Hyperactivity/diagnosis , Case-Control Studies , Child , Female , Humans , Male , Psychomotor PerformanceABSTRACT
El grupo GEITDAH (Grupo de Especial Interés en el Trastorno por Déficit de Atención/Hiperactividad) presenta en este artículo un consenso de expertos de toda España sobre el tratamiento nutricional del TDAH. El tratamiento del trastorno por déficit de atención con o sin hiperactividad (TDAH) debe ser multimodal. El tratamiento nutricional es suplementario y comienza a haber pruebas científicas de su eficacia. Las intervenciones dietéticas pueden tener pequeños efectos beneficiosos en los síntomas del TDAH. La controvertida eliminación de aditivos artificiales, conservantes, colorantes y azúcares ha sido bien estudiada, y no tiene suficiente soporte científico por el momento para su recomendación generalizada como tratamiento eficaz del TDAH. Tampoco el empleo adicional de Acetil-L Carnitina con metilfenidato. Los suplementos de hierro o zinc deben suministrarse en los pacientes con TDAH con deficiencias conocidas. En este momento los hallazgos de los ensayos controlados aleatorizados son demasiado limitados y no apoyan de forma definitiva hasta la fecha el uso habitual en la práctica clínica de los ácidos grasos esenciales (omega-3 y 6) como tratamiento primario o suplementario en los niños con TDAH. Aunque, parecen aliviar síntomas relacionados con el TDAH, al menos en algunos niños, y los beneficios son mayores en el colegio que en casa
In this article, the GEITDAH -the Spanish abbreviation of the Special Interest Group on Attention Deficit Hyper-activity Disorder (ADHD)- presents a consensus about nutritional treatment for ADHD reached by experts in the management of ADHD from all over Spain. The ADHD treatment should be multimodal.Nutritional treatment is supplementary and there is some begining evidence of modest efficacy. Dietary interventions can have little beneficial effects in ADHD symptomatology. The controversial restricted elimination of food additives, preservatives, artificial food colours and refined sugar from diet is good studied. Present findings do not support to date the positive recommendation of its use as an appropriate treatment in ADHD. Neither do they support Acetyl-L Carnitine supplementation to augment methylphenidate. Iron and zinc should be supplemented in selected patients with know deficiencies. Current findings from randomized trials are limited and have not consistently supported the generalized clinical use of PUFA supplements (omega-3 fatty acids) as a primary or supplementary treatment for children with ADHD
Subject(s)
Humans , Child , Attention Deficit Disorder with Hyperactivity/diet therapy , Nutritional Support/methods , Nutrition Therapy/methods , Fatty Acids, Omega-3/administration & dosage , Food, Fortified , Expert Testimony , ConsensusABSTRACT
The psychometric properties of a Binocular Rivalry (BR)-based test on a group of 159 participants (57 with attention deficit hyperactivity disorder, ADHD) aged between 6 and 15 years are presented. Two factors, which explained 56.82% of the variance, were obtained by exploratory factor analysis: (a) Alternations and Duration of exclusive dominances, and (b) Decision time. Reliability was excellent (Cronbach's α = .834 and .884). The ADHD group showed fewer alternations and longer duration of dominances and decision time than the control group. Correlations between measures of BR, IQ, working memory, and processing speed of the WISC-IV, and ADHD symptoms, assessed by parents and teachers, ranged between low and medium.
Subject(s)
Attention Deficit Disorder with Hyperactivity/diagnosis , Attention/physiology , Inhibition, Psychological , Vision Disparity/physiology , Adolescent , Attention Deficit Disorder with Hyperactivity/physiopathology , Case-Control Studies , Child , Decision Making , Factor Analysis, Statistical , Female , Humans , Male , Psychometrics/instrumentation , Reaction Time , Reproducibility of Results , Vision, Binocular/physiologyABSTRACT
The psychometric properties of a Binocular Rivalry (BR)-based test on a group of 159 participants (57 with attention deficit hyperactivity disorder, ADHD) aged between 6 and 15 years are presented. Two factors, which explained 56.82% of the variance, were obtained by exploratory factor analysis: (a) Alternations and Duration of exclusive dominances, and (b) Decision time. Reliability was excellent (Cronbachs α = .834 and .884). The ADHD group showed fewer alternations and longer duration of dominances and decision time than the control group. Correlations between measures of BR, IQ, working memory, and processing speed of the WISC-IV, and ADHD symptoms, assessed by parents and teachers, ranged between low and medium (AU)
No disponible
Subject(s)
Humans , Male , Female , Child , Adolescent , Attention Deficit Disorder with Hyperactivity/diagnosis , Attention Deficit Disorder with Hyperactivity/psychology , Psychometrics/instrumentation , Psychometrics/methods , Psychometrics/trends , Psychometrics/organization & administration , Psychometrics/standards , Memory/physiology , Psychological Tests/statistics & numerical data , Psychological Tests/standardsABSTRACT
El grupo de especial interés en TDAH (GEITADH) expone en este artículo su consenso sobre algoritmos de derivación en la asistencia para el paciente afecto de TDAH. Es un diseño sencillo realizado por un amplio número de profesionales de toda España con el objetivo de poder ser adaptado a necesidades asistenciales locales. Se revisan también otros algoritmos con influencia nacional
The Spanish Especial Interest Group on ADHD (GEITDAH) presents in this article its consensus on pathways for attending ADHD patients. This is a clear and simple consensus in order to facilitate the development of local algoritms inspired on it. Some ADHD algorithms used in the Spanish Health Services are reviewed
Subject(s)
Humans , Attention Deficit Disorder with Hyperactivity/diagnosis , Symptom Assessment/methods , Algorithms , Mass Screening/methods , Referral and Consultation , Diagnostic Errors/prevention & control , Professional Training , Practice Patterns, Physicians'ABSTRACT
El GEITDAH, Grupo de Especial Interés en el Trastorno por Déficit de Atención/Hiperactividad (TDAH), presenta en este artículo un consenso de expertos de toda España sobre el manejo del TDAH. Se han consensuado aspectos básicos que deberían ser el punto de partida para futuros consensos locales o regionales. Es también un objetivo de este consenso disminuir la variabilidad en la asistencia que se da en nuestro país al TDAH y servir de estímulo para fines docentes. Su reducida extensión permitirá una mayor difusión a fin de lograr todos estos fines de forma más efectiva. Las conclusiones del consenso se han articulado en torno a una introducción sobre aspectos básicos y recomendaciones para: diagnóstico, tratamiento (farmacológico y psicoterapéutico), flujo de pacientes y aspectos organizativos (AU)
In this article, the GEITDAH the Spanish abbreviation of the Special Interest Group on Attention Deficit Hyperactivity Disorder (ADHD) presents a consensus reached by experts in the management of ADHD from all over Spain. The consensus concerns fundamental aspects that should be the starting point for future local or regional consensus guides. Another aim of this consensus is also to reduce the amount of variability that occurs in the health care offered to patients with ADHD in our country, as well as to act as a stimulus in educational matters. That fact that it is not very long will make it more popular among greater numbers of people and this will allow these goals to be reached more effectively. The conclusions in the consensus guide have been constructed around an introduction dealing with basic aspects and recommendations for diagnosis, treatment (both pharmacological and psychotherapeutic), patient flow and organisational aspects (AU)
