Attention deficit hyperactivity disorder: current progress and controversies

Author(s): Luk, E. S. L.

Journal/Book: Aust N Z J Psychiat. 2000; 34: 54 University St, P O Box 378, Carlton, Victoria 3053, Australia. Blackwell Science Asia. 719-730.

Abstract: Objective: Attention deficit hyperactivity disorder (ADHD) is a common chronic and disabling condition in children. This paper reviews the taxonomic issues and the major comorbid conditions, neurobiological correlates, treatment and public health issues associated with ADHD. Method: Pertinent recent papers are reviewed from the psychological and psychiatric literature. Results: The two major taxonomies now define a similar group of children with ADHD of a combined type/hyperkinetic disorder. Advances in the understanding and treatment of ADHD demonstrate the complex multidimensional links between neurobiology, psychology and behaviour. Careful assessment of individual factors in treatment planning and ongoing monitoring of psychostimulant medication treatment in the longer term are recommended. Conclusions: There is much still to learn about ADHD, and increased levels of clinical research and treatment resources are required.

Note: Review Vance ALA, Maroondah Hosp, Child & Adolescent Psychiat Serv, 21 Ware Crescent, Ringwood E, Vic 3135, AUSTRALIA

Keyword(s): ADHD; controversies; neurobiology; progress; review treatment; DEFICIT/HYPERACTIVITY DISORDER; HYPERKINETIC DISORDER; ENVIRONMENTAL-INFLUENCES; STIMULANT MEDICATION; BRAIN METABOLISM; CHILD-PSYCHIATRY; CONDUCT PROBLEMS; CAUDATE-NUCLEUS; ADHD CHILDREN; DSM-IV

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