Editorial Perspective: Overdiagnosis of ADHD? Here we go again

IF 4.4 3区 医学 Q1 PEDIATRICS
Child and Adolescent Mental Health Pub Date : 2026-04-27 Epub Date: 2026-02-22 DOI:10.1111/camh.70075
Anita Thapar
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引用次数: 0

Abstract

There is growing preoccupation with whether ADHD is overdiagnosed. That question has already been addressed for the United Kingdom in the recently published National Health Service (NHS)-England independent ADHD Taskforce Report. The administrative prevalence of ADHD in the United Kingdom is lower than the population rate. Regardless of prevalence or country, I argue why a focus purely on diagnosis is unhelpful and overly narrow. A diagnosis is helpful for clinical decision making but, on its own, has multiple limitations. I argue the case for why a needs-based, stepped care, holistic approach is preferable and provide evidence of what sorts of timely support are likely to be effective. The time has come for constructive rather than divisive dialogue on how best to help children and young people.

编辑视角:ADHD的过度诊断?又来了。
人们越来越关注多动症是否被过度诊断。这个问题已经在英国最近出版的国家卫生服务(NHS)-英格兰独立多动症特别工作组报告中得到了解决。在英国,ADHD的行政患病率低于人口患病率。无论流行程度或国家如何,我认为,为什么只关注诊断是无益的,而且过于狭隘。诊断有助于临床决策,但就其本身而言,有多重局限性。我论证了为什么基于需求的、阶梯式护理、整体方法更可取,并提供了证据,说明哪种及时的支持可能是有效的。现在是就如何最好地帮助儿童和年轻人进行建设性而非分裂性对话的时候了。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Child and Adolescent Mental Health
Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY
CiteScore
8.30
自引率
3.30%
发文量
77
审稿时长
>12 weeks
期刊介绍: Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.
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