2023专家共识声明：注意力缺陷_多动障碍和物质使用障碍患者的识别和治疗.docx

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1、NameofJourna1:Wor1dJourna1OfPsychiatryManuscriptNO:81739ManuscriptType:EXPERTCONSENSUSIdentificationandtreatmentofindividua1swithattention-deficihyperactivitydisorderandsubstanceusedisorder:AnexpertconsensusstatementYoungSeta1.Consensusstatement:ADHDandSUDSusanYoung,CyrusAbbasian,ZainabA1-AttarzPo11

2、yBranney,Bi11Co11ey,Samue1eCortesezSa11yCubbin,QuintonDee1ey,Gis1iHannesGudjonsson,PeterHi11zJackHo11ingda1e,SteveJenden,JoeJohnson,DeborahJudge,A1exandra1ewis,PeterMason,RajaMukherjee,DavidNuttzJaneRoberts,FionaRobinson,EmmaWoodhouse,Ke11yCoca11isSusanYoungzDepartmentofPsycho1ogy,Psycho1ogyServices

3、1imited,CroydonCR97AEzUnitedKingdomSusanYoung,DepartmentofPsycho1ogy,ReykjavikUniversity,Reykjavik,Ice1andCyrusAbbasian,ZainabA1-AttarzPsychiatry-UK1imited,Cornwa11P1339ET,UnitedKingdomPo11yBranney,ADHDandAutism,OxfordADHD&AutismCentre,Headington0X37BXzUnitedKingdomBi11Co11eyzC1CConsu1tancy,Dunke1dP

4、H8OAYzUnitedKingdomSamue1eCortesezCenterforInnovationinMenta1Hea1th,Schoo1ofPsycho1ogy,Facu1tyofEnvironmenta1and1ifeSciences,UniversityofSouthampton,SouthamptonSO171BJ,UnitedKingdomSa11yCubbin,Adu1tADHD,Adu1tADHDC1inic1td,Oxford0X37RP,UnitedKingdomQuintonDee1ey,ForensicandNeurodeve1opmenta1Science,I

5、nstituteofPsychiatry,Psycho1ogy&Neuroscience,KingsCo11ege1ondonInstituteofPsychiatry,1ondonSE58AF,UnitedKingdomGis1iHannesGudjonssonzDepartmentofPsycho1ogy,InstituteofPsychiatry,Psycho1ogy&Neuroscience,KingsCo11ege1ondon,1ondonSE58AF,UnitedKingdomPeterHi11,DepartmentofPsychiatry,UniversityOf1ondon,1

6、ondonWC1E7HUzUnitedKingdomJackHo11ingda1ezDepartmentofPsycho1ogy,CompassPsycho1ogyServices1td,1ondonBR19DX,UnitedKingdomSteveJendenzDeborahJudge,Birribi1td,NarberthSA677DU,UnitedKingdomJoeJohnson,Ha1tonandKnows1eyAdu1tADHDTeam,MerseycareNHSFoundationTrust,WinwickWA29WA,UnitedKingdomA1exandra1ewis,De

7、partmentofPsychiatry,Fu1bournHospita1,CambridgeCB215EF,UnitedKingdomPeterMason,DepartmentofPsychiatry,DrPeterMasonADHD&PsychiatryServices1imited,1iverpoo1119AR,UnitedKingdomRajaMukherjeezAdu1tNeurodeve1opmenta1Service,HorizonHouse,EpsomKT174QJzUnitedKingdomDavidNutt,DepartmentofPsychiatry,Imperia1Co

8、11ege1ondon,1ondonWS12ONN,UnitedKingdomJaneRoberts,ServiceUserRepresentative,G1oucestershireG113NN,UnitedKingdomFionaRobinson,Drug&A1coho1Services,Surrey&BordersPartnershipTrust,1eatherheadKT227AD,UnitedKingdomEmmaWoodhouse,ForensicandNeurodeve1opmenta1Sciences,InstituteofPsychiatry,Psycho1ogy&Neuro

9、science,KingsCo11ege1ondon,1ondonSE58AF,UnitedKingdomKe11yCoca11iszWansbeckGenera1Hospita1,NorthumbriaHea1thcareNHSFoundationTrust,AshingtonNE639JJ,UnitedKingdomAuthorcontributions:YoungSwasresponsib1eforthep1anningandscientificinputofthisconsensusstatement;a11authorsattendedtheconsensusmeeting;Coca

10、11isKcomp1etedthefirstdraftofthemanuscript;Itwassubstantia11yrevisedbyYoungSwithfurtherinputfromNuttD,MasonPandMukherjeeR;Theseconddraftwasrevisedandcircu1atedbyYoungSandCoca11isKtoa11authorsforcommentandendorsementoftheconsensus;Fo11owingfurtherfeedbackandamendmentsbyYoungSandCoca11isK,thefina1draf

11、twascircu1atedoncemore;a11authorshavereadandapprovedthefina1manuscript.Correspondingauthor:SusanYoung,PhDzProfessor,DepartmentofPsycho1ogy,Psycho1ogyServices1imited,PO1735,CroydonCR97AE,UnitedKingdom.SUZyyoUngReceived:November22,2023Revised:February19,2023Accepted:March14,2023Pub1ishedon1ine:March19

12、,2023AbstractAttention-deficithyperactivitydisorder(ADHD)oftenco-occurswithsubstanceuse(SU)and/orsubstanceusedisorder(SUD).Individua1swithconcurrentADHDandSU/SUDcanhavecomp1expresentationsthatmaycomp1icatediagnosisandtreatment.Thiscanbefurthercomp1icatedbythecontextinwhichservicesarede1ivered.A1so,w

13、henworkingwithyoungpeop1eandadu1tswithco-existingADHDandSU/SUD,thereisuncertaintyamonghea1thcarepractitionersonhowbesttomeettheirneeds.InFebruary2023ztheUnitedKingdomADHDPartnershiphostedameetingattendedbymu1tidiscip1inaryexpertstoaddresstheseissues.Fo11owingpresentationsprovidingattendeeswithanover

14、viewofthe1iterature,groupdiscussionswerehe1dsynthesizingresearchevidenceandc1inica1experience.Topicsinc1uded:(1)areviewofsubstancesandreasonsforuse/misuse;(2)identification,assessmentandtreatmentofi11icitSU/SUDinyoungpeop1eandadu1tswithADHDpresentingincommunityservices;and(3)identification,assessmen

15、tandtreatmentofADHDinadu1tspresentinginSU/SUDcommunityandinpatientservices.Discussionshigh1ightedinter-servicebarriersandfragmentationofcare.Itwasconc1udedthatamu1timoda1andmu1ti-agencyapproachisneeded.Theconsensusgroupgeneratedatab1eofpracticerecommendationsprovidingguidanceon:identificationandasse

16、ssment;pharmaco1ogica1andpsycho1ogica1treatment;andmu1ti-agencyinterventions.KeyWords:Attention-deficit/hyperactivitydisorder;Substanceuse;Pharmacokinetics;Assessment;Treatment;ComorbidityTheAuthor(s)2023.Pub1ishedbyBaishidengPub1ishingGroupInc.A11rightsreserved.Citation:YoungS,AbbasianC,A1-AttarZ,BranneyP,Co11eyB,CorteseS,CubbinS,Dee1eyQ,GudjonssonGH,Hi11P,Ho11ingda1eJ,JendenS,JohnsonJ,JudgeD,1ewisA,MasonP,M