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A Review of Predictors of Psychosocial Service Utilization in Youth with Attention-Deficit/Hyperactivity Disorder
Clinical Child and Family Psychology Review ( IF 7.410 ) Pub Date : 2021-09-08 , DOI: 10.1007/s10567-021-00368-y
Cathrin D Green 1 , Joshua M Langberg 1
Affiliation  

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common childhood disorders. Professional practice guidelines recommend combined treatment, psychopharmacological and psychosocial, for youth with ADHD. There have been multiple reviews of pharmacological prescription practices and utilization, however, less is known about predictors of ADHD psychosocial service utilization. Given the importance of accessing psychosocial treatment in relation to improving functional impairment, this review synthesizes evidence on predictors of ADHD psychosocial intervention utilization in clinic, community, and school settings. Eighteen studies were identified and included in the review. Findings are summarized across informant profile factors, predisposing characteristics, and barriers and facilitators. The most robust findings were for the impact of symptom severity/impairment, the presence of comorbidities, and age on ADHD psychosocial service utilization. Race/ethnicity, sex, parental knowledge of the disorder and insurance coverage were also identified as key factors. Future avenues of research are provided, and clinical and policy implications targeted at reducing psychosocial treatment disparities in youth with ADHD are discussed.



中文翻译:

青少年注意力缺陷/多动障碍心理社会服务利用预测因素综述

注意缺陷/多动障碍(ADHD)是最常见的儿童疾病之一。专业实践指南建议对患有 ADHD 的青少年进行综合治疗、心理药理学和心理社会治疗。对药理学处方的实践和使用进行了多次审查,但是,对于 ADHD 心理社会服务使用的预测因素知之甚少。鉴于获得社会心理治疗对改善功能障碍的重要性,本综述综合了有关在诊所、社区和学校环境中使用 ADHD 社会心理干预的预测因素的证据。18 项研究被确定并纳入审查。调查结果总结了线人概况因素、诱发特征以及障碍和促进因素。最有力的发现是症状严重程度/损害、合并症的存在和年龄对 ADHD 心理社会服务利用的影响。种族/民族、性别、父母对疾病的了解和保险范围也被确定为关键因素。提供了未来的研究途径,并讨论了旨在减少多动症青年心理社会治疗差异的临床和政策影响。

更新日期:2021-09-09
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