By American Academy of Pediatrics
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Extra info for Pediatric Clinical Practice Guidelines & Policies
This guideline is based on an extensive review of the medical, psychological, and educational literature. The objectives of the literature review were to determine the long- and short-term effectiveness and PEDIATRICS Vol. 108 No. 4 October 2001 1033 24 SECTION 1/CLINICAL PRACTICE GUIDELINES safety of pharmacological and nonpharmacological interventions for ADHD in children from 6 to 12 years of age, and to compare single treatment methods (eg, medications alone) with combined management strategies.
Further research should clarify the developmental course of ADHD symptomatology. An additional difficulty for primary care is that existing evidence indicates that the behaviors used in making a DSM-IV diagnosis of ADHD fall on a spectrum. Currently, decisions about the inappropriateness of the behaviors in children depend on subjective judgments of observers/reporters. There are no data to offer precise estimates of when diagnostic behaviors become inappropriate. This is particularly problematic to primary care clinicians, who care for a number of patients who fit into borderline or gray areas.
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