FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2083745049> ?p ?o ?g. }

• W2083745049 abstract "This issue of European Child and Adolescent Psychiatry contains an article that addresses functional impairments associated with subthreshold attention-deficit/hyperactivity disorder (ADHD) [2]. In a Korean nationwide community sample of 921 children, aged 8–11 years, the authors report that children with subthreshold ADHD were found to experience significant functional impairments, i.e., poorer behavioral and emotional control and worse academic performance compared to control children. Subthreshold ADHD was defined by the presence of at least three but no more than five inattentive or hyperactive/impulsive symptoms. However, whereas the diagnostic threshold (C6/9) for the DSM-IV symptoms represents a clear-cut operationalization for a diagnosis of ADHD, this disregards the fact that for the affected individuals and their parents the relevance of each symptom is likely to be different; for the diagnostic assessment as defined by the DSM-IV the symptoms are merely being counted, without taking the severity of each symptom into account. Furthermore, the subjective and objective impairment due to ADHD symptoms can in theory be greater in a child who fulfills only five symptoms in comparison to a child with six or more symptoms. These considerations illustrate how difficult it is to meaningfully operationalize thresholds for a spectrum disorder such as ADHD. It is certainly an interesting approach to illustrate impairments in a subthreshold version of a disorder that has received so much coverage by media, politicians, and government due to concerns about overdiagnosis and overtreatment with medication, in particular psychostimulants. The article of Hong et al. [2] in this issue illustrates that there is not a simple clear-cut boundary between ADHD and ‘normality’, which we should be well-aware of, when considering concerns of possible overdiagnosis. What is true, is that over the past decade, there has been a rapid and tremendous increase in the diagnosis of ADHD and in the use of medication treatments for ADHD within many European countries, in particular methylphenidate. This increase in the use of medication may be explained by several factors. First, better recognition and diagnosing of ADHD, in particular among girls. Second, the observation that children with ADHD receive the medication at a younger age than before. Third, it is now commonplace to receive the medication for many years, often during adolescent years and more and more into adulthood [4]. It is unclear, however, whether also children are being diagnosed and/or medicated in spite of falling below the diagnostic threshold set by DSM-IV (C6/9 criteria for either inattention or hyperactivity/impulsivity, or both) or failing to meet other aspects of the DSM-IV algorithm. A second issue is that the increased and longer use of methylphenidate contrasts with the lack of long-term data on effectiveness. In fact, for example, the official Dutch multidisciplinary guidelines explicitly state that there is currently only evidence for the long-term effectiveness of methylphenidate for treatment duration between 3 months and 2 years. Much of our knowledge about treatment periods of longer than a year comes from following up a single study, the Multimodal Treatment of ADHD study (MTA) [12]. Earlier reports from the MTA study found that children taking stimulants alone or combined with behavioral treatment did better in the first year than children who got no special care or who got behavioral treatment alone. Later long-term reports from the MTA study tracked 485 P. J. Hoekstra (&) A. Dietrich Department of Psychiatry, University of Groningen, University Medical Center Groningen, Hanzeplein 1-XA10, 9713 GZ Groningen, The Netherlands e-mail: p.hoekstra@accare.nl" @default.
• W2083745049 created "2016-06-24" @default.
• W2083745049 creator A5039838663 @default.
• W2083745049 creator A5089920268 @default.
• W2083745049 date "2014-08-01" @default.
• W2083745049 modified "2023-09-27" @default.
• W2083745049 title "Attention-deficit/hyperactivity disorder: seeking the right balance between over- and undertreatment" @default.
• W2083745049 cites W1757455917 @default.
• W2083745049 cites W1984122101 @default.
• W2083745049 cites W1988882510 @default.
• W2083745049 cites W2020484089 @default.
• W2083745049 cites W2046031762 @default.
• W2083745049 cites W2078456833 @default.
• W2083745049 cites W2088386084 @default.
• W2083745049 cites W2099157759 @default.
• W2083745049 cites W2110366628 @default.
• W2083745049 cites W2144385879 @default.
• W2083745049 cites W2145525277 @default.
• W2083745049 cites W2156340840 @default.
• W2083745049 cites W2162215180 @default.
• W2083745049 doi "https://doi.org/10.1007/s00787-014-0594-z" @default.
• W2083745049 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25098182" @default.
• W2083745049 hasPublicationYear "2014" @default.
• W2083745049 type Work @default.
• W2083745049 sameAs 2083745049 @default.
• W2083745049 citedByCount "0" @default.
• W2083745049 crossrefType "journal-article" @default.
• W2083745049 hasAuthorship W2083745049A5039838663 @default.
• W2083745049 hasAuthorship W2083745049A5089920268 @default.
• W2083745049 hasBestOaLocation W20837450491 @default.
• W2083745049 hasConcept C111472728 @default.
• W2083745049 hasConcept C118552586 @default.
• W2083745049 hasConcept C138885662 @default.
• W2083745049 hasConcept C142724271 @default.
• W2083745049 hasConcept C15744967 @default.
• W2083745049 hasConcept C2779377019 @default.
• W2083745049 hasConcept C2780783007 @default.
• W2083745049 hasConcept C2993918154 @default.
• W2083745049 hasConcept C3017694942 @default.
• W2083745049 hasConcept C557119937 @default.
• W2083745049 hasConcept C70410870 @default.
• W2083745049 hasConcept C71924100 @default.
• W2083745049 hasConcept C9354725 @default.
• W2083745049 hasConceptScore W2083745049C111472728 @default.
• W2083745049 hasConceptScore W2083745049C118552586 @default.
• W2083745049 hasConceptScore W2083745049C138885662 @default.
• W2083745049 hasConceptScore W2083745049C142724271 @default.
• W2083745049 hasConceptScore W2083745049C15744967 @default.
• W2083745049 hasConceptScore W2083745049C2779377019 @default.
• W2083745049 hasConceptScore W2083745049C2780783007 @default.
• W2083745049 hasConceptScore W2083745049C2993918154 @default.
• W2083745049 hasConceptScore W2083745049C3017694942 @default.
• W2083745049 hasConceptScore W2083745049C557119937 @default.
• W2083745049 hasConceptScore W2083745049C70410870 @default.
• W2083745049 hasConceptScore W2083745049C71924100 @default.
• W2083745049 hasConceptScore W2083745049C9354725 @default.
• W2083745049 hasLocation W20837450491 @default.
• W2083745049 hasLocation W20837450492 @default.
• W2083745049 hasOpenAccess W2083745049 @default.
• W2083745049 hasPrimaryLocation W20837450491 @default.
• W2083745049 hasRelatedWork W111968219 @default.
• W2083745049 hasRelatedWork W16376774 @default.
• W2083745049 hasRelatedWork W1972830352 @default.
• W2083745049 hasRelatedWork W1978764701 @default.
• W2083745049 hasRelatedWork W1994874108 @default.
• W2083745049 hasRelatedWork W2077433674 @default.
• W2083745049 hasRelatedWork W2147916297 @default.
• W2083745049 hasRelatedWork W2222827527 @default.
• W2083745049 hasRelatedWork W2284436738 @default.
• W2083745049 hasRelatedWork W2395538860 @default.
• W2083745049 hasRelatedWork W2491102572 @default.
• W2083745049 hasRelatedWork W2793929803 @default.
• W2083745049 hasRelatedWork W2901798356 @default.
• W2083745049 hasRelatedWork W2969584000 @default.
• W2083745049 hasRelatedWork W2979385261 @default.
• W2083745049 hasRelatedWork W3009186225 @default.
• W2083745049 hasRelatedWork W3146504537 @default.
• W2083745049 hasRelatedWork W98145445 @default.
• W2083745049 hasRelatedWork W2181790379 @default.
• W2083745049 hasRelatedWork W2184822041 @default.
• W2083745049 isParatext "false" @default.
• W2083745049 isRetracted "false" @default.
• W2083745049 magId "2083745049" @default.
• W2083745049 workType "article" @default.