Evidence map›Paper›PMID 42627426›Full record

ArticleEuropean child & adolescent psychiatry2026

Clinical practices in ADHD management across Europe: findings from the ESCAP research academy survey.

Héloïse Young, Alexis Revet, Julie Hagstrøm, Burçin Özlem Ates, Astrid Brænden, Markella Grigoriou, Irina Jarvers, Moa Jederström, Lucie Jurek, Konstantinos Kotsis and 13 more

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Article in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Héloïse YoungDepartment of Child and Adolescent Psychiatry, Rouen University Hospital, and University of Rouen, 76000, Rouen, France. heloiseyoung@icloud.com.ORCID http://orcid.org/0000-0003-4835-5938
Alexis RevetCERPOP, Inserm, University of Toulouse, Toulouse, France.ORCID http://orcid.org/0000-0002-8051-1657
Julie HagstrømChild and Adolescent Mental Health Center, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-4337-307X
Burçin Özlem AtesChild and Adolescent Psychiatry Department, Gülhane Training and Research Hospital, Ankara, Türkiye.ORCID http://orcid.org/0000-0003-3043-7118
Astrid BrændenDivision of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.ORCID http://orcid.org/0000-0001-9908-5056
Markella GrigoriouPsychology Department, University of Limassol, Limassol, Cyprus.ORCID http://orcid.org/0009-0007-3580-629X
Irina JarversDepartment of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany.ORCID http://orcid.org/0000-0002-8414-2895
Moa JederströmAthletics Research Center, Department of Health, Medicine and Science, Linköping University, 581 83, Linköping, Sweden.ORCID http://orcid.org/0000-0003-0938-084X
Lucie JurekPôle de Psychiatrie de L'enfant Et de L'adolescent, CH Le Vinatier, Bron, France.ORCID http://orcid.org/0000-0001-7568-568X
Konstantinos KotsisFaculty of Medicine, University of Ioannina, Ioannina, Greece.ORCID http://orcid.org/0000-0003-1548-0134
Sanja LestarevicInstitute of Mental Health, Belgrade, Serbia.ORCID http://orcid.org/0000-0003-1007-0283
Matthias LiebrandUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0003-1139-5151
Emilia MateraDepartment of Precision and Regenerative Medicine and Ionian Area, University of Bari "A.Moro", Bari, Italy.ORCID http://orcid.org/0000-0002-7541-0616
Dorottya ŐriInstitute of Behavioural Sciences, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0003-0878-165X
Asilay SekerInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID http://orcid.org/0000-0002-6229-3924
Gordena NikolovaUniversity Clinic of Psychiatry, Skopje, North Macedonia.
Tetiana SkrypnykDepartment of Scientific Research on Mental Disorders of Children and Adolescents State Institution "Institute of Forensic Psychiatry of the Ministry of Health of Ukraine", Kyiv, Ukraine.ORCID http://orcid.org/0000-0002-4290-5495
Mireia SolerdelcollDepartment of Child and Adolescent Psychiatry and Psychology, Hospital Clínic de Barcelona, 2021SGR01319, Barcelona, Spain.ORCID http://orcid.org/0000-0003-2250-494X
Christine Lykke ThoustrupChild and Adolescent Mental Health Center, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-1106-9073
Karen VertessenKU Leuven, Department of Neurosciences, Psychiatry, Herestraat 49, 3000, Leuven, Belgium.ORCID http://orcid.org/0000-0001-8601-6406
European ADHD Guidelines Group (EAGG)*
Paul KlauserCentre for Psychiatric Neuroscience, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.ORCID http://orcid.org/0000-0003-0284-4947
Samuele CorteseDevelopmental EPI (Evidence Synthesis, Prediction, Implementation) Lab, Centre for Innovation in Mental Health, School of Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0001-5877-8075

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In several European countries, national clinical guidelines for the management of ADHD are lacking. In others, guidelines are outdated or do not address more detailed aspects of care, such as medication titration procedures or specific recommendations for school adjustments. Perceptions of the appropriateness of treatment, which influence the delivery of care for ADHD, are shaped by sociocultural aspects. Consequently, practices in the management of ADHD are expected to substantially vary across Europe. To better understand current practices in both pharmacological and non-pharmacological management of ADHD, as well as clinicians' perceptions of treatment appropriateness, we conducted an online survey among European qualified child and adolescent (neuro)psychiatrists and general psychiatrists or trainees involved in the care of children and adolescents with ADHD. The survey was developed and implemented by the European Society for Child and Adolescent Psychiatry (ESCAP) Research Academy, with input from the European ADHD Guidelines Group (EAGG). It was completed by 1,441 clinicians of varying seniority from 23 European countries. The findings provide updated insights into ADHD management across Europe and highlight three key unmet needs. First, several clinically relevant areas lack sufficient evidence, including how to personalise treatment and identify practical predictors of treatment response. Second, some existing evidence has not yet been adequately translated into clinical guidelines or routine practice, particularly regarding comparative treatment effects and dose-response relationships relevant to medication titration. Third, some respondents reported needs that are already addressed in existing international guidelines, suggesting that language barriers may limit access to guidance and underscoring the importance of developing country-specific recommendations in local languages. Overall, this survey - to our knowledge the largest of its kind conducted in Europe - provides valuable information to inform future clinical guidelines, research priorities, and health policy. It also informs future training programmes aimed at reducing bias in the perception and delivery of ADHD treatment.

Indexed as

ADHDEuropeManagementNon-pharmacologicalPharmacologicalSurvey

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.