Evaluation of awareness in primary health care facilities in terms of adult attention deficit hyperactivity disorder
DOI:
https://doi.org/10.22399/ijcesen.802Keywords:
Attention deficit hyperactivity disorder, primary healthcare, Adult Attention Deficit Hyperactivity Disorder, hyperactivity disorderAbstract
Adult Attention Deficit Hyperactivity Disorder (ADHD) is the most frequently diagnosed and treated disorder in psychiatry. It is still not sufficiently recognized in adult psychiatry, is often overlooked, and cases that apply to psychiatry for the treatment of ADHD-related problems are tried to be treated with other diagnoses. The aim of our study is to measure the awareness levels of family physicians for ADHD. A ‘questionnaire form’ was prepared in the Google Forms program, information about the study was added to the survey clearly and sent to family physicians via message. Question that physicians knew the most was whether adult ADHD was a treatable disease. 79% of physicians answered this question correctly. Questions evaluating whether it was known that patients with ADHD had low functionality, frequent problems with the law, high economic losses and high marital-partner problems, and approximately 84% of physicians answered negative. 87% of physicians stated that they had never actively participated in the follow-up and treatment of ADHD. 79% of physicians stated that they were not aware of the Adult ADHD diagnostic criteria. Another question in which physicians' awareness was determined to be low was whether it was known that ADHD diagnosis accompanied many psychiatric diseases, and 77% of physicians answered negative. Although the variety of symptoms, high frequency of additional diagnoses, lack of knowledge and experience of physicians regarding this disease and its symptoms cause difficulties in diagnosis and treatment planning, it is possible to increase the quality of life and functionality of patients and to improve the prognosis. For this reason, it will be of great importance for the patients diagnosed and under treatment by psychiatrists to be followed up by physicians in primary health care institutions.
References
Nambi, S. K., Prasad, J., Singh, D., Abraham, V., Kuruvilla, A., & Jacob, K. S. (2002). Explanatory models and common mental disorders among patients with unexplained somatic symptoms attending a primary care facility in Tamil Nadu. The National medical journal of India, 15(6), 331–335.
Merikangas, K. R., He, J. P., Brody, D., Fisher, P. W., Bourdon, K., & Koretz, D. S. (2010). Prevalence and treatment of mental disorders among US children in the 2001-2004 NHANES. Pediatrics, 125(1), 75–81. https://doi.org/10.1542/peds.2008-2598
Simon, V., Czobor, P., Bálint, S., Mészáros, A., & Bitter, I. (2009). Prevalence and correlates of adult attention-deficit hyperactivity disorder: meta-analysis. The British journal of psychiatry : the journal of mental science, 194(3), 204–211. https://doi.org/10.1192/bjp.bp.107.048827
McGough, J. J., Smalley, S. L., McCracken, J. T., Yang, M., Del'Homme, M., Lynn, D. E., & Loo, S. (2005). Psychiatric comorbidity in adult attention deficit hyperactivity disorder: findings from multiplex families. The American journal of psychiatry, 162(9), 1621–1627. https://doi.org/10.1176/appi.ajp.162.9.1621
Kristiansen, C. B., Shanmuganathan, J. W., Gustafsson, L. N., Løkke, K. P., & Munk-Jørgensen, P. (2015). Increasing incidence and diagnostic instability in adult attention-deficit hyperactivity disorder nationwide between 1995 and 2012. Attention deficit and hyperactivity disorders, 7(2), 151–156. https://doi.org/10.1007/s12402-014-0155-9
Babcock, T., & Ornstein, C. S. (2009). Comorbidity and its impact in adult patients with attention-deficit/hyperactivity disorder: a primary care perspective. Postgraduate medicine, 121(3), 73–82. https://doi.org/10.3810/pgm.2009.05.2005
Reebye P. (2008). Attention–Deficit Hyperactivity Disorder: A Handbook For Diagnosis And Treatment, Third Edition. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 17(1), 31–33.
Ocaktan, M., Özdemir, O., & Akdur, R. (2004). Birinci basamakta ruh sağlığı hizmetleri. Kriz Dergisi, 12(2), 63-73. https://doi.org/10.1501/Kriz_0000000206
Afana, A. H., Dalgard, O. S., Bjertness, E., & Grunfeld, B. (2002). The ability of general practitioners to detect mental disorders among primary care patients in a stressful environment: Gaza Strip. Journal of public health medicine, 24(4), 326–331. https://doi.org/10.1093/pubmed/24.4.326
Bijl, R. V., & Ravelli, A. (2000). Psychiatric morbidity, service use, and need for care in the general population: results of The Netherlands Mental Health Survey and Incidence Study. American journal of public health, 90(4), 602–607. https://doi.org/10.2105/ajph.90.4.602
Oral T, Kıyak D, Temiz S Uluşahın A, Baran i, Ogel K (1994) Birinci Basamakta Ruhsal Bozuklukların Tanı ve Tedavisi ICD-10, Temel Sağlık Hizmetleri Formu Oluşturma Çabaları, 4 Ulusal Halk Sağlığı Kongresi
Rosenberg E, Lussier MT, Beaudoin C Kirmayer LJ, Dufort GG (2003) Determinants of The Diagnosis of Psychological Problems by Primary Care Physicians in Patients with Normal GHO.-28 Scores, This Mon, Apr, 49(4) 249-60
Hamiel D, Moss D, Shvartzman P (2003) Clinical Psychophysiology in The Primary Care System Harefuah, Mar, 142(3) 193-6,238
Ercan, E. S., Kandulu, R., Uslu, E., Ardic, U. A., Yazici, K. U., Basay, B. K., Aydın, C., & Rohde, L. A. (2013). Prevalence and diagnostic stability of ADHD and ODD in Turkish children: a 4-year longitudinal study. Child and adolescent psychiatry and mental health, 7(1), 30. https://doi.org/10.1186/1753-2000-7-30
Kooij, J. J., Buitelaar, J. K., van den Oord, E. J., Furer, J. W., Rijnders, C. A., & Hodiamont, P. P. (2005). Internal and external validity of attention-deficit hyperactivity disorder in a population-based sample of adults. Psychological medicine, 35(6), 817–827. https://doi.org/10.1017/s003329170400337x
Özmen, S., & Özmen, A. (2013). Yetişkinlerde Dikkat Eksikliği Hiperaktivite Bozukluğu’nun Demografik Değişkenlere, Öfke ve Öfke İfade Tarzına Göre İncelenmesi. Atatürk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 16(2), 45-67.
Beitchman J. H. (2006). Development of Psychopathology: Nature and Nurture. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 15(2), 96–97.
Tufan AE, & Yaluğ İ. (2010) Erişkinde dikkat eksikliği hiperaktivite bozukluğu: Türkiye verilerine dayalı bir gözden geçirme. Anadolu Psikiyatri Dergisi, 11(4), 351-359.
Kavakçı, Ö. (2012). Erişkin dikkat eksikliği/hiperaktivite bozukluğunun epidemiyolojisi. Türkiye Klinikleri Journal Psychiatry-Special Topics, 8-13.
İnci Kenar AN, & Herkes H (2015) Erişkinde Dikkat Eksikliği ve Hiperaktivite Bozukluğu. Türkiye Klinikleri Journal Child Psychiatry Special Topics 1:39-45.
Treuer, T., Chan, K. L. P., Kim, B. N., Kunjithapatham, G., Wynchank, D., Semerci, B., Montgomery, W., Novick, D., & Dueñas, H. (2017). Lost in transition: A review of the unmet need of patients with attention deficit/hyperactivity disorder transitioning to adulthood. Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists, 9(2), 10.1111/appy.12254. https://doi.org/10.1111/appy.12254
Carlson, C.L., Mann, M. & Alexander, D.K. (2000). Effects of Reward and Response Cost on the Performance and Motivation of Children with ADHD. Cognitive Therapy and Research 24, 87–98. https://doi.org/10.1023/A:1005455009154.
Thapar, A., Cooper, M., & Rutter, M. (2017). Neurodevelopmental disorders. The lancet. Psychiatry, 4(4), 339–346. https://doi.org/10.1016/S2215-0366(16)30376-5
Barkley R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychological bulletin, 121(1), 65–94. https://doi.org/10.1037/0033-2909.121.1.65
Wilens, T. E., & Dodson, W. (2004). A clinical perspective of attention-deficit/hyperactivity disorder into adulthood. The Journal of clinical psychiatry, 65(10), 1301–1313. https://doi.org/10.4088/jcp.v65n1003.
Wolf, L. E., & Wasserstein, J. (2001). Adult ADHD. Concluding thoughts. Annals of the New York Academy of Sciences, 931, 396–408.
Adamou, M., Arif, M., Asherson, P., Aw, T. C., Bolea, B., Coghill, D., Guðjónsson, G., Halmøy, A., Hodgkins, P., Müller, U., Pitts, M., Trakoli, A., Williams, N., & Young, S. (2013). Occupational issues of adults with ADHD. BMC psychiatry, 13, 59. https://doi.org/10.1186/1471-244X-13-59.
Eakin, L., Minde, K., Hechtman, L., Ochs, E., Krane, E., Bouffard, R., Greenfield, B., & Looper, K. (2004). The marital and family functioning of adults with ADHD and their spouses. Journal of attention disorders, 8(1), 1–10. https://doi.org/10.1177/108705470400800101.
Wymbs, B. T., Pelham, W. E., Jr, Molina, B. S., Gnagy, E. M., Wilson, T. K., & Greenhouse, J. B. (2008). Rate and predictors of divorce among parents of youths with ADHD. Journal of consulting and clinical psychology, 76(5), 735–744. https://doi.org/10.1037/a0012719.
Wender, P. H., Reimherr, F. W., & Wood, D. R. (1981). Attention deficit disorder ('minimal brain dysfunction') in adults. A replication study of diagnosis and drug treatment. Archives of general psychiatry, 38(4), 449–456. https://doi.org/10.1001/archpsyc.1981.01780290083009.
Moffitt T. E. (1990). Juvenile delinquency and attention deficit disorder: boys' developmental trajectories from age 3 to age 15. Child development, 61(3), 893–910. https://doi.org/10.1111/j.1467-8624.1990.tb02830.x
Biederman, J., Newcorn, J., & Sprich, S. (1991). Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. The American journal of psychiatry, 148(5), 564–577. https://doi.org/10.1176/ajp.148.5.564.
Young, S. J., Adamou, M., Bolea, B., Gudjonsson, G., Müller, U., Pitts, M., Thome, J., & Asherson, P. (2011). The identification and management of ADHD offenders within the criminal justice system: a consensus statement from the UK Adult ADHD Network and criminal justice agencies. BMC psychiatry, 11, 32. https://doi.org/10.1186/1471-244X-11-32.
Barkley RA, Murphy KR, Fischer M (2008) ADHD in Adults: What the Science Says. New York, NY: Guilford Press, s.291-329.
Gunter, T. D., Arndt, S., Wenman, G., Allen, J., Loveless, P., Sieleni, B., & Black, D. W. (2008). Frequency of mental and addictive disorders among 320 men and women entering the Iowa prison system: use of the MINI-Plus. The journal of the American Academy of Psychiatry and the Law, 36(1), 27–34.
Faraone, S. V., Biederman, J., Wozniak, J., Mundy, E., Mennin, D., & O'Donnell, D. (1997). Is comorbidity with ADHD a marker for juvenile-onset mania?. Journal of the American Academy of Child and Adolescent Psychiatry, 36(8), 1046–1055. https://doi.org/10.1097/00004583-199708000-00012.
Montoya, A., Colom, F., & Ferrin, M. (2011). Is psychoeducation for parents and teachers of children and adolescents with ADHD efficacious? A systematic literature review. European psychiatry : the journal of the Association of European Psychiatrists, 26(3), 166–175. https://doi.org/10.1016/j.eurpsy.2010.10.005
P., A. M., & R. GUNASUNDARI. (2024). An Interpretable PyCaret Approach for Alzheimer’s Disease Prediction. International Journal of Computational and Experimental Science and Engineering, 10(4). https://doi.org/10.22399/ijcesen.655
Arya P. Pillai, & N.V. Chinnasamy. (2025). Prediction of Postpartum Depression With Dataset Using Hybrid Data Mining Classification Technique. International Journal of Computational and Experimental Science and Engineering, 11(1). https://doi.org/10.22399/ijcesen.750
Agnihotri, A., & Kohli, N. (2024). A novel lightweight deep learning model based on SqueezeNet architecture for viral lung disease classification in X-ray and CT images. International Journal of Computational and Experimental Science and Engineering, 10(4). https://doi.org/10.22399/ijcesen.425
D, jayasutha. (2024). Remote Monitoring and Early Detection of Labor Progress Using IoT-Enabled Smart Health Systems for Rural Healthcare Accessibility. International Journal of Computational and Experimental Science and Engineering, 10(4). https://doi.org/10.22399/ijcesen.672
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