Time of onset and/or diagnosis of ADHD in European children: a systematic review

Abstract Background Attention-Deficit/ Hyperactivity Disorder (ADHD) is one of the most common childhood neurobehavioral conditions. Symptoms related to this disorder cause a significant impairment in school tasks and in the activities of children’s daily lives; an early diagnosis and appropriate tr...

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Autores principales:	Ilaria Rocco, Barbara Corso, Maurizio Bonati, Nadia Minicuci
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	ADHD Neurodevelopmental disorders Children Onset Diagnosis Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/4ad58b29db874f558b2c1a19fff61774
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spelling	oai:doaj.org-article:4ad58b29db874f558b2c1a19fff617742021-11-21T12:05:11ZTime of onset and/or diagnosis of ADHD in European children: a systematic review10.1186/s12888-021-03547-x1471-244Xhttps://doaj.org/article/4ad58b29db874f558b2c1a19fff617742021-11-01T00:00:00Zhttps://doi.org/10.1186/s12888-021-03547-xhttps://doaj.org/toc/1471-244XAbstract Background Attention-Deficit/ Hyperactivity Disorder (ADHD) is one of the most common childhood neurobehavioral conditions. Symptoms related to this disorder cause a significant impairment in school tasks and in the activities of children’s daily lives; an early diagnosis and appropriate treatment could almost certainly help improve their outcomes. The current study, part of the Models Of Child Health Appraised (MOCHA) project, aims to explore the age at which children experience the onset or diagnosis of ADHD in European countries. Methods A systematic review was done examining the studies reporting the age of onset/diagnosis (AO/AD) of ADHD in European countries (28 European Member States plus 2 European Economic Area countries), published between January 1, 2010 and December 31, 2019. Of the 2276 identified studies, 44 met all the predefined criteria and were included in the review. Results The lowest mean AO in the children diagnosed with ADHD alone was 2.25 years and the highest was 7.5 years. It was 15.3 years in the children with ADHD and disruptive behaviour disorder. The mean AD ranges between 6.2 and 18.1 years. Conclusions Our findings indicate that there is a wide variability in both the AO and AD of ADHD, and a too large distance between AO and AD. Since studies in the literature suggest that an early identification of ADHD symptoms may facilitate early referral and treatment, it would be important to understand the underlying reasons behind the wide variability found. Trial registration PROSPERO registration: CRD42017070631 .Ilaria RoccoBarbara CorsoMaurizio BonatiNadia MinicuciBMCarticleADHDNeurodevelopmental disordersChildrenOnsetDiagnosisPsychiatryRC435-571ENBMC Psychiatry, Vol 21, Iss 1, Pp 1-24 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ADHD Neurodevelopmental disorders Children Onset Diagnosis Psychiatry RC435-571
spellingShingle	ADHD Neurodevelopmental disorders Children Onset Diagnosis Psychiatry RC435-571 Ilaria Rocco Barbara Corso Maurizio Bonati Nadia Minicuci Time of onset and/or diagnosis of ADHD in European children: a systematic review
description	Abstract Background Attention-Deficit/ Hyperactivity Disorder (ADHD) is one of the most common childhood neurobehavioral conditions. Symptoms related to this disorder cause a significant impairment in school tasks and in the activities of children’s daily lives; an early diagnosis and appropriate treatment could almost certainly help improve their outcomes. The current study, part of the Models Of Child Health Appraised (MOCHA) project, aims to explore the age at which children experience the onset or diagnosis of ADHD in European countries. Methods A systematic review was done examining the studies reporting the age of onset/diagnosis (AO/AD) of ADHD in European countries (28 European Member States plus 2 European Economic Area countries), published between January 1, 2010 and December 31, 2019. Of the 2276 identified studies, 44 met all the predefined criteria and were included in the review. Results The lowest mean AO in the children diagnosed with ADHD alone was 2.25 years and the highest was 7.5 years. It was 15.3 years in the children with ADHD and disruptive behaviour disorder. The mean AD ranges between 6.2 and 18.1 years. Conclusions Our findings indicate that there is a wide variability in both the AO and AD of ADHD, and a too large distance between AO and AD. Since studies in the literature suggest that an early identification of ADHD symptoms may facilitate early referral and treatment, it would be important to understand the underlying reasons behind the wide variability found. Trial registration PROSPERO registration: CRD42017070631 .
format	article
author	Ilaria Rocco Barbara Corso Maurizio Bonati Nadia Minicuci
author_facet	Ilaria Rocco Barbara Corso Maurizio Bonati Nadia Minicuci
author_sort	Ilaria Rocco
title	Time of onset and/or diagnosis of ADHD in European children: a systematic review
title_short	Time of onset and/or diagnosis of ADHD in European children: a systematic review
title_full	Time of onset and/or diagnosis of ADHD in European children: a systematic review
title_fullStr	Time of onset and/or diagnosis of ADHD in European children: a systematic review
title_full_unstemmed	Time of onset and/or diagnosis of ADHD in European children: a systematic review
title_sort	time of onset and/or diagnosis of adhd in european children: a systematic review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/4ad58b29db874f558b2c1a19fff61774
work_keys_str_mv	AT ilariarocco timeofonsetandordiagnosisofadhdineuropeanchildrenasystematicreview AT barbaracorso timeofonsetandordiagnosisofadhdineuropeanchildrenasystematicreview AT mauriziobonati timeofonsetandordiagnosisofadhdineuropeanchildrenasystematicreview AT nadiaminicuci timeofonsetandordiagnosisofadhdineuropeanchildrenasystematicreview
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Time of onset and/or diagnosis of ADHD in European children: a systematic review

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