Monday , April 12 2021

ADHD diagnosis has not recorded well



This is seen in the white paper "Diagnosis of Hyperkinetic Disorder in Children in Norway", published in the Journal of the Medical Medical Association. The article is about using ADHD diagnosis in specialized health tests, and the relationship that varies between the county.

Researchers have read medical magazines and issues outside the mapped map and a correlation diagnosis has been documented. Magazine reviews include children from all over the country

– We found that about half of the ADHD diagnosis was well documented. Many of the expulsions were not fulfilled according to the recommendations in the national guidelines, the victory of Surén Paul, researcher at the Norwegian Public Health Institute.

Much of the judge's diagnosis was flawed from what is called differential diagnostic assessment, he will see an assessment of alternative explanations of symptoms. Some children were informed of learning difficulties and anticipated development without capacity or development test, or without the need for attention in the diagnosis assessment.

In other cases, journalistic information contained in the child's life included symptoms that could contribute to symptoms. It could be a cohabitation between parents, serious parent illness, neglect, abuse or bullying.

– Such conditions do not mean that the child may have ADHD, but it must always be discussed with the relationship that identifies the symptoms and function the child, says Surén.

He said they also read magazines where the child's description did not match the diagnosis criteria for ADHD, and it could appear to have been diagnosed with the child without actually having the condition.

Difficulty imposed ADHD diagnosis

ADHD diagnosis is difficult because it does not make any difference between normal diagnosis and operation. Inadequate high levels of activity, stimulation and concentration are common among young children, but they are usually a little while the children grow naturally. It can be challenging to set the threshold for diagnosis and leave one to remove a boundary that is normal to a child that hangs out in the maturing process.

Challenges of this kind are not unique to ADHD. Many psychiatric and medical diagnoses are based on the symptoms of the symptoms and there are no clear threshold values ​​for diagnosis. The diagnostics must then be modified based on all assessments and discretion.

"A common objection to the ADHD diagnosis is that it does not represent a developmental deviation, but it's a label on children that are on the outskirts of the usual area, Fortel Surén.

However, the researcher notes that studies of children with ADHD have shown themselves to be the most realistic and decide on the normal development of the child. Hyperactivity and concentration failure often result in a large amount of water on the shoulders and elles. Many have begun to develop language, switching off and regulating their own behavior.

I did not research well enough

"Some children are diagnosed with ADHD that they should not be. It does not mean that healthy children are diagnosed, but to convince children with disabilities is being examined well enough, says the researcher .

Surin Meiner, ADHD diagnosis needs to be improved in the Norwegian specialist health test. The national guidelines should be amended so that they specify specific requirements for what should be included in the payment. Diagnosis criteria should be applied actively, so the diagnosis has to be kept for the children who meet their / her criteria. The researcher is also of the opinion that methods for observing children in shelters and nurseries should be developed, as such observations form an important part of the diagnosis basis.

"Although some ADHD diagnoses are being carried out too thin, there is no basis for ADHD to be diagnosed generally in Norway, and it is also similar that the health service should not take care of children with ADHD , especially in the county with a proportion of children with this diagnosis, says Surén.

"So it's not enough to reduce the proportion of children with a diagnosis. The goal must also be that the diagnosis is applied to the correct children and to build on broadcasts thoroughly, I come to the conclusion.

referral

Surén et al. (2018): Diagnosis of hyperkinetic disorder in children in Norway. Published: 20 November 2018. Tidsskr Nor Legeforen 1970. DOI: 10.4045 / tidsskr.18.0418


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