Maurizio Bonati1, Laura Reale1, Michele Zanetti1, Massimo Cartabia1, Filomena Fortinguerra1, Giuseppe Capovilla2, Matteo Chiappedi3, Antonella Costantino4, Paola Effedri5, Chiara Luoni6, Ottaviano Martinelli7, Massimo Molteni8, Alberto Ottolini9, Monica Saccani10. 1. 1 Laboratory for Mother and Child Health, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri," Milan, Italy. 2. 2 Child Neuropsychiatry Department, Poma Hospital, Mantova, Italy. 3. 3 Child Neurology and Psychiatry Unit, National Neurological Institute C. Mondino, Pavia, Italy. 4. 4 Child and Adolescent Neuropsychiatric Unit, IRCCS Foundation Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy. 5. 5 Child and Adolescent Neuropsychiatric Unit, Children Hospital, Brescia, Italy. 6. 6 Child and Adolescent Neuropsychiatric Unit, De Ponte Hospital, Macchi Foundation, Varese, Italy. 7. 7 Child and Adolescent Neuropsychiatric Unit, Manzoni Hospital, Lecco, Italy. 8. 8 Child and Adolescent Neuropsychiatric Unit, IRCCS Foundation Eugenio Medea, Bosisio Parini (LC), Italy. 9. 9 Child and Adolescent Neuropsychiatric Unit, Fatebenefratelli Hospital, Milan, Italy. 10. 10 Child and Adolescent Neuropsychiatric Unit, San Paolo Hospital, Milan Italy.
Abstract
OBJECTIVE: We aimed to define the sociodemographic, clinical, and prescription profiles of the participants enrolled in the Italian Lombardy ADHD Register. METHOD: Data on patients evaluated by the 18 regional ADHD reference centers in the 2012 to 2013 period were analyzed. RESULTS: Seven hundred fifty-three of 1,150 (65%) suspected patients received a diagnosis of ADHD. In 24% of cases, there was a family history of ADHD. Four hundred eighty-three (64%) patients had at least one psychopathological disorder, the more common of which were learning disorders (35%). Eighty-four percent of patients received a prescription for psychoeducational interventions, 2% received only pharmacological treatment, and 14% a combination of both. Compared with patients treated with psychoeducational intervention alone, patients with drug prescriptions more commonly presented values of Clinical Global Impressions - Severity scale (CGI-S) of 5 or higher ( p < .0001). CONCLUSION: A continuous and systematic monitoring of patterns of care is essential in promoting significant improvements in clinical practice and ensuring an efficient and homogeneous quality of care.
OBJECTIVE: We aimed to define the sociodemographic, clinical, and prescription profiles of the participants enrolled in the Italian Lombardy ADHD Register. METHOD: Data on patients evaluated by the 18 regional ADHD reference centers in the 2012 to 2013 period were analyzed. RESULTS: Seven hundred fifty-three of 1,150 (65%) suspected patients received a diagnosis of ADHD. In 24% of cases, there was a family history of ADHD. Four hundred eighty-three (64%) patients had at least one psychopathological disorder, the more common of which were learning disorders (35%). Eighty-four percent of patients received a prescription for psychoeducational interventions, 2% received only pharmacological treatment, and 14% a combination of both. Compared with patients treated with psychoeducational intervention alone, patients with drug prescriptions more commonly presented values of Clinical Global Impressions - Severity scale (CGI-S) of 5 or higher ( p < .0001). CONCLUSION: A continuous and systematic monitoring of patterns of care is essential in promoting significant improvements in clinical practice and ensuring an efficient and homogeneous quality of care.
Authors: Gianluigi Casadei; Massimo Cartabia; Laura Reale; Maria Antonella Costantino; Maurizio Bonati Journal: Int J Ment Health Syst Date: 2017-04-28
Authors: Y Okumura; M Usami; T Okada; T Saito; H Negoro; N Tsujii; J Fujita; J Iida Journal: Epidemiol Psychiatr Sci Date: 2018-05-28 Impact factor: 6.892