Updated European Consensus Statement on diagnosis and treatment of adult ADHD

J. J. S. Kooij, D. Bijlenga, L. Salerno, R. Jaeschke, I. Bitter, J. Balázs, J. Thome, G. Dom, S. Kasper, C. Nunes Filipe, S. Stes, P. Mohr, S. Leppämäki, M. Casas Brugué, J. Bobes, J. M. Mccarthy, V. Richarte, A. Kjems Philipsen, A. Pehlivanidis, A. Niemela & 44 others B. Styr, B. Semerci, B. Bolea-Alamanac, D. Edvinsson, D. Baeyens, D. Wynchank, E. Sobanski, A. Philipsen, F. McNicholas, H. Caci, I. Mihailescu, I. Manor, I. Dobrescu, J. Krause, J. Fayyad, J. A. Ramos-Quiroga, K. Foeken, F. Rad, M. Adamou, M. Ohlmeier, M. Fitzgerald, M. Gill, M. Lensing, N. Motavalli Mukaddes, P. Brudkiewicz, P. Gustafsson, P. Tani, P. Oswald, P. J. Carpentier, P. de Rossi, R. Delorme, S. Markovska Simoska, S. Pallanti, S. Young, S. Bejerot, T. Lehtonen, J. Kustow, U. Müller-Sedgwick, T. Hirvikoski, V. Pironti, Y. Ginsberg, Z. Félegeházy, M. P. Garcia-Portilla, P. Asherson

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness. Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated. Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated? Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD.
LanguageEnglish
Pages14-34
JournalEuropean Psychiatry
Volume56
DOIs
StatePublished - 2019

Cite this

Kooij, J. J. S., Bijlenga, D., Salerno, L., Jaeschke, R., Bitter, I., Balázs, J., ... Asherson, P. (2019). Updated European Consensus Statement on diagnosis and treatment of adult ADHD. European Psychiatry, 56, 14-34. DOI: 10.1016/j.eurpsy.2018.11.001
Kooij, J. J. S. ; Bijlenga, D. ; Salerno, L. ; Jaeschke, R. ; Bitter, I. ; Balázs, J. ; Thome, J. ; Dom, G. ; Kasper, S. ; Nunes Filipe, C. ; Stes, S. ; Mohr, P. ; Leppämäki, S. ; Casas Brugué, M. ; Bobes, J. ; Mccarthy, J. M. ; Richarte, V. ; Kjems Philipsen, A. ; Pehlivanidis, A. ; Niemela, A. ; Styr, B. ; Semerci, B. ; Bolea-Alamanac, B. ; Edvinsson, D. ; Baeyens, D. ; Wynchank, D. ; Sobanski, E. ; Philipsen, A. ; McNicholas, F. ; Caci, H. ; Mihailescu, I. ; Manor, I. ; Dobrescu, I. ; Krause, J. ; Fayyad, J. ; Ramos-Quiroga, J. A. ; Foeken, K. ; Rad, F. ; Adamou, M. ; Ohlmeier, M. ; Fitzgerald, M. ; Gill, M. ; Lensing, M. ; Motavalli Mukaddes, N. ; Brudkiewicz, P. ; Gustafsson, P. ; Tani, P. ; Oswald, P. ; Carpentier, P. J. ; de Rossi, P. ; Delorme, R. ; Markovska Simoska, S. ; Pallanti, S. ; Young, S. ; Bejerot, S. ; Lehtonen, T. ; Kustow, J. ; Müller-Sedgwick, U. ; Hirvikoski, T. ; Pironti, V. ; Ginsberg, Y. ; Félegeházy, Z. ; Garcia-Portilla, M. P. ; Asherson, P./ Updated European Consensus Statement on diagnosis and treatment of adult ADHD. In: European Psychiatry. 2019 ; Vol. 56. pp. 14-34
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title = "Updated European Consensus Statement on diagnosis and treatment of adult ADHD",
abstract = "Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness. Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated. Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated? Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD.",
author = "Kooij, {J. J. S.} and D. Bijlenga and L. Salerno and R. Jaeschke and I. Bitter and J. Bal{\'a}zs and J. Thome and G. Dom and S. Kasper and {Nunes Filipe}, C. and S. Stes and P. Mohr and S. Lepp{\"a}m{\"a}ki and {Casas Brugu{\'e}}, M. and J. Bobes and Mccarthy, {J. M.} and V. Richarte and {Kjems Philipsen}, A. and A. Pehlivanidis and A. Niemela and B. Styr and B. Semerci and B. Bolea-Alamanac and D. Edvinsson and D. Baeyens and D. Wynchank and E. Sobanski and A. Philipsen and F. McNicholas and H. Caci and I. Mihailescu and I. Manor and I. Dobrescu and J. Krause and J. Fayyad and Ramos-Quiroga, {J. A.} and K. Foeken and F. Rad and M. Adamou and M. Ohlmeier and M. Fitzgerald and M. Gill and M. Lensing and {Motavalli Mukaddes}, N. and P. Brudkiewicz and P. Gustafsson and P. Tani and P. Oswald and Carpentier, {P. J.} and {de Rossi}, P. and R. Delorme and {Markovska Simoska}, S. and S. Pallanti and S. Young and S. Bejerot and T. Lehtonen and J. Kustow and U. M{\"u}ller-Sedgwick and T. Hirvikoski and V. Pironti and Y. Ginsberg and Z. F{\'e}legeh{\'a}zy and Garcia-Portilla, {M. P.} and P. Asherson",
year = "2019",
doi = "10.1016/j.eurpsy.2018.11.001",
language = "English",
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pages = "14--34",
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Kooij, JJS, Bijlenga, D, Salerno, L, Jaeschke, R, Bitter, I, Balázs, J, Thome, J, Dom, G, Kasper, S, Nunes Filipe, C, Stes, S, Mohr, P, Leppämäki, S, Casas Brugué, M, Bobes, J, Mccarthy, JM, Richarte, V, Kjems Philipsen, A, Pehlivanidis, A, Niemela, A, Styr, B, Semerci, B, Bolea-Alamanac, B, Edvinsson, D, Baeyens, D, Wynchank, D, Sobanski, E, Philipsen, A, McNicholas, F, Caci, H, Mihailescu, I, Manor, I, Dobrescu, I, Krause, J, Fayyad, J, Ramos-Quiroga, JA, Foeken, K, Rad, F, Adamou, M, Ohlmeier, M, Fitzgerald, M, Gill, M, Lensing, M, Motavalli Mukaddes, N, Brudkiewicz, P, Gustafsson, P, Tani, P, Oswald, P, Carpentier, PJ, de Rossi, P, Delorme, R, Markovska Simoska, S, Pallanti, S, Young, S, Bejerot, S, Lehtonen, T, Kustow, J, Müller-Sedgwick, U, Hirvikoski, T, Pironti, V, Ginsberg, Y, Félegeházy, Z, Garcia-Portilla, MP & Asherson, P 2019, 'Updated European Consensus Statement on diagnosis and treatment of adult ADHD' European Psychiatry, vol. 56, pp. 14-34. DOI: 10.1016/j.eurpsy.2018.11.001

Updated European Consensus Statement on diagnosis and treatment of adult ADHD. / Kooij, J. J. S.; Bijlenga, D.; Salerno, L.; Jaeschke, R.; Bitter, I.; Balázs, J.; Thome, J.; Dom, G.; Kasper, S.; Nunes Filipe, C.; Stes, S.; Mohr, P.; Leppämäki, S.; Casas Brugué, M.; Bobes, J.; Mccarthy, J. M.; Richarte, V.; Kjems Philipsen, A.; Pehlivanidis, A.; Niemela, A.; Styr, B.; Semerci, B.; Bolea-Alamanac, B.; Edvinsson, D.; Baeyens, D.; Wynchank, D.; Sobanski, E.; Philipsen, A.; McNicholas, F.; Caci, H.; Mihailescu, I.; Manor, I.; Dobrescu, I.; Krause, J.; Fayyad, J.; Ramos-Quiroga, J. A.; Foeken, K.; Rad, F.; Adamou, M.; Ohlmeier, M.; Fitzgerald, M.; Gill, M.; Lensing, M.; Motavalli Mukaddes, N.; Brudkiewicz, P.; Gustafsson, P.; Tani, P.; Oswald, P.; Carpentier, P. J.; de Rossi, P.; Delorme, R.; Markovska Simoska, S.; Pallanti, S.; Young, S.; Bejerot, S.; Lehtonen, T.; Kustow, J.; Müller-Sedgwick, U.; Hirvikoski, T.; Pironti, V.; Ginsberg, Y.; Félegeházy, Z.; Garcia-Portilla, M. P.; Asherson, P.

In: European Psychiatry, Vol. 56, 2019, p. 14-34.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Updated European Consensus Statement on diagnosis and treatment of adult ADHD

AU - Kooij,J. J. S.

AU - Bijlenga,D.

AU - Salerno,L.

AU - Jaeschke,R.

AU - Bitter,I.

AU - Balázs,J.

AU - Thome,J.

AU - Dom,G.

AU - Kasper,S.

AU - Nunes Filipe,C.

AU - Stes,S.

AU - Mohr,P.

AU - Leppämäki,S.

AU - Casas Brugué,M.

AU - Bobes,J.

AU - Mccarthy,J. M.

AU - Richarte,V.

AU - Kjems Philipsen,A.

AU - Pehlivanidis,A.

AU - Niemela,A.

AU - Styr,B.

AU - Semerci,B.

AU - Bolea-Alamanac,B.

AU - Edvinsson,D.

AU - Baeyens,D.

AU - Wynchank,D.

AU - Sobanski,E.

AU - Philipsen,A.

AU - McNicholas,F.

AU - Caci,H.

AU - Mihailescu,I.

AU - Manor,I.

AU - Dobrescu,I.

AU - Krause,J.

AU - Fayyad,J.

AU - Ramos-Quiroga,J. A.

AU - Foeken,K.

AU - Rad,F.

AU - Adamou,M.

AU - Ohlmeier,M.

AU - Fitzgerald,M.

AU - Gill,M.

AU - Lensing,M.

AU - Motavalli Mukaddes,N.

AU - Brudkiewicz,P.

AU - Gustafsson,P.

AU - Tani,P.

AU - Oswald,P.

AU - Carpentier,P. J.

AU - de Rossi,P.

AU - Delorme,R.

AU - Markovska Simoska,S.

AU - Pallanti,S.

AU - Young,S.

AU - Bejerot,S.

AU - Lehtonen,T.

AU - Kustow,J.

AU - Müller-Sedgwick,U.

AU - Hirvikoski,T.

AU - Pironti,V.

AU - Ginsberg,Y.

AU - Félegeházy,Z.

AU - Garcia-Portilla,M. P.

AU - Asherson,P.

PY - 2019

Y1 - 2019

N2 - Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness. Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated. Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated? Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD.

AB - Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness. Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated. Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated? Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85056845323&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/30453134

U2 - 10.1016/j.eurpsy.2018.11.001

DO - 10.1016/j.eurpsy.2018.11.001

M3 - Article

VL - 56

SP - 14

EP - 34

JO - European Psychiatry

T2 - European Psychiatry

JF - European Psychiatry

SN - 0924-9338

ER -

Kooij JJS, Bijlenga D, Salerno L, Jaeschke R, Bitter I, Balázs J et al. Updated European Consensus Statement on diagnosis and treatment of adult ADHD. European Psychiatry. 2019;56:14-34. Available from, DOI: 10.1016/j.eurpsy.2018.11.001