Uit de review blijkt dat – in tegenstelling tot medicatie – geen van de niet-medicamenteuze behandelingen een consistent sterk effect vertonen op ADHD-symptomen. Bij het overwegen van brede uitkomsten (bijv. comorbide stoornissen, stress bij directe naasten en gedragsverbetering), kan multicomponent (cognitieve) gedragstherapie (evenals medicatie) nu als een primaire ADHD-behandeling beschouwd worden.
Met betrekking tot secundaire behandelingen vertoonden meervoudig onverzadigde vetzuren een consistent bescheiden effect op ADHD-symptomen wanneer ze gedurende ten minste 3 maanden werden ingenomen. Ook vertoonden mindfulness en suppletie met meerdere voedingsstoffen met vier of meer ingrediënten een bescheiden werkzaamheid op niet-symptoomuitkomsten.
Alle andere niet-medicamenteuze behandelingen waren veilig; behandelaren kunnen het gebruik ervan toestaan, maar het is wel raadzaam om patienten te informeren over afwezigheid van bewezen werkzaamheid in vergelijking met andere behandelingen.
{9309347:HZ32FM3J}
vancouver
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asc
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4598
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