Attention-deficit/hyperactivity disorder (ADHD) is the most common mental disorder in childhood, and primary care clinicians provide a major component of the care for children with ADHD. However, because of limited available evidence, the American Academy of Pediatrics guidelines did not include adolescents and young adults. Contrary to previous beliefs, it has become clear that, in most cases, ADHD does not resolve once children enter puberty. This article reviews the current evidence about the diagnosis and treatment of adolescents and young adults with ADHD and describes how the information informs practice. It describes some of the unique characteristics observed among adolescents, as well as how the core symptoms change with maturity. The diagnostic process is discussed, as well as approaches to the care of adolescents to improve adherences. Both psychosocial and pharmacologic interventions are reviewed, and there is a discussion of these patients' transition into young adulthood. The article also indicates that research is needed to identify the unique adolescent characteristics of ADHD and effective psychosocial and pharmacologic treatments.
The characteristic complaint among patients with patellofemoral pain is the insidious onset of pain while running, walking, climbing stairs, or otherwise engaging in activities that involve prolonged and/or repetitive weight bearing over a flexed knee. The symptoms of patellofemoral pain are often debilitating enough to limit participation in competitive sports and daily activities and reduce overall quality of life.
During the developmental stage of adolescence, young people strive for independence and begin to make decisions that impact them for the rest of their lives. The purpose of this descriptive study was to examine the literature over the past 15 years to analyze the concept of autonomy in adolescence and to identify possible relationships between autonomy and health behavior. The findings indicate that few studies have been carried out that address the issue of autonomy as it relates to adolescent lifestyles or “ways of living,” particularly related to health behaviors. Additional study is warranted to develop more defined theoretical and operational definitions of the concept of autonomy, which will be of value for the development of instruments for measurement ...