The Retrospective Diagnosis of Attention-Deficit/Hyperactivity Disorder in Adolescents: Family Physicians\u27 Challenges

The primary purpose of the study was to identify current retrospective practices used by family physicians in the diagnosis of Attention-Deficit-Hyperactivity Disorder (ADHD) in adolescents and young adults. In other words, do physicians adhere to best practices and examine information from childhood in order to diagnose ADHD in adolescents and young adults? In addition, this study aimed to examine the information physicians request for ADHD diagnosis, types of treatments they recommend, the type of information they use to assess treatment outcomes, and professional attitudes regarding the nature of ADHD. Participants completed a questionnaire designed to answer the research questions. Participants included a random sample of members of the American Academy of Family Physicians (AAFP, N = 143) and a convenience sample (N = 84). Results indicated discrepancies between participating physicians\u27 current practices and best diagnostic practices, while these physicians generally reported treatment recommendations consistent with evidence-based practice. Reports of adherence to retrospective diagnostic practices and treatment outcome evaluation were limited, suggesting the need for training as well as collaboration with school professionals. Limitations of the current study and implications for future research are discussed