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Peer-reviewedCC BY-NC-SAClinical neuropsychiatry

Adult Adhd Knowledge, Practices and Training Needs Among Psychiatrists in Tuscany. Results from the Auto-Sag Survey.

  • Federico Mucci1
  • Donatella Marazziti2
  • Jonathan Mennucci3
  • Giulio Vannini4
  • Francesca Diolaiuti2
  • Francesco Casamassima5
  • Riccardo Dalle Luche6
  • Paolo Iazzetta7
  • Riccardo Gurrieri8
  • Claudio Lorenzetti9
  • Luigi Valoroso10
  • Angelo Cerù11
1 more authors
  • Siham Bouanani12
12 affiliations
  1. 1Department of Mental Health and Addiction, Azienda USL Toscana Nord Ovest, Lucca, Italy.
  2. 2Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.
  3. 3Occupational Medicine Department, IRCCS Foundation San Gerardo dei Tintori, Monza, Italy.
  4. 4Adnovum AG, Berna, Switzerland.
  5. 5Department of Mental Health and Addiction, Azienda USL Toscana Centro, Firenze, Italy.
  6. 6Department of Mental Health and Addiction, Azienda USL Toscana Centro, Pistoia, Italy.
  7. 7Department of Mental Health and Addiction, Azienda USL Toscana Sud Est, Grosseto, Italy.
  8. 8Health Science Interdisciplinary Center, Sant'Anna School of Advanced Studies, Pisa, Italy.
  9. 9Department of Mental Health and Addiction, Azienda USL Toscana Nord Ovest, Pontedera, Italy.
  10. 10Department of Mental Health and Addiction, Azienda USL Toscana Nord Ovest, Valli Etrusche, Italy.
  11. 11Department of Mental Health and Addiction, Azienda USL Toscana Nord Ovest, Massa, Italy.
  12. 12Department of Mental Health and Addiction, Azienda USL Toscana Nord Ovest, Pisa, Italy.
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Abstract

Objective

the clinical management of adult attention-deficit/hyperactivity disorder (ADHD) in Italy takes place without consolidated national guidelines and within a regulatory framework originally designed for paediatric populations. This study aimed to describe psychiatrists' knowledge, diagnostic and therapeutic practices, regulatory awareness, and training needs regarding adult ADHD, and to test whether specific ADHD training, rather than general clinical experience, predicted perceived preparedness.Method

a cross-sectional online survey (AUTO-SAG: ADHD Understanding of Treatment and Orientation: Self-Assessment on Guidance), comprising 57 items across six domains, was distributed to board-certified psychiatrists practising in Tuscany between August 2025 and January 2026.Results

of the 93 respondents, 68 (73.1%; 95% CI: 63.3-81.1) rated their preparedness to manage adult ADHD as poor or absent, and the majority reported limited familiarity with validated diagnostic instruments. Two thirds (66.7%) had never prescribed ADHD-specific medication, with poor pharmacological knowledge cited as the primary reason. The sample was nearly evenly divided between those perceiving underdiagnosis (53.8%) and overdiagnosis (40.9%) as the predominant diagnostic risk. Specific ADHD training was significantly associated with perceived preparedness (OR = 6.27; p < 0.001), whereas years of clinical experience showed no association (ρ = -0.120; p = 0.25); preparedness did not differ significantly across age groups. Despite these gaps, 89.2% expressed willingness to participate in training.Conclusions

targeted education, rather than clinical seniority, may be the most modifiable determinant of perceived preparedness, though structural and regulatory barriers constrain the translation of knowledge into practice.

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Cite

BibTeXRIS
BibTeX
@article{mucci2026adult,
  title = {{Adult Adhd Knowledge, Practices and Training Needs Among Psychiatrists in Tuscany. Results from the Auto-Sag Survey.}},
  author = {Federico Mucci and Donatella Marazziti and Jonathan Mennucci and Giulio Vannini and Francesca Diolaiuti and Francesco Casamassima and Riccardo Dalle Luche and Paolo Iazzetta and Riccardo Gurrieri and Claudio Lorenzetti and Luigi Valoroso and Angelo Cerù and Siham Bouanani},
  journal = {Clinical neuropsychiatry},
  year = {2026},
  month = oct,
  doi = {10.36131/cnfioritieditore20260506},
  url = {https://europepmc.org/article/MED/42909936},
  note = {CC BY-NC-SA},
}
RIS
TY  - JOUR
TI  - Adult Adhd Knowledge, Practices and Training Needs Among Psychiatrists in Tuscany. Results from the Auto-Sag Survey.
AU  - Federico Mucci
AU  - Donatella Marazziti
AU  - Jonathan Mennucci
AU  - Giulio Vannini
AU  - Francesca Diolaiuti
AU  - Francesco Casamassima
AU  - Riccardo Dalle Luche
AU  - Paolo Iazzetta
AU  - Riccardo Gurrieri
AU  - Claudio Lorenzetti
AU  - Luigi Valoroso
AU  - Angelo Cerù
AU  - Siham Bouanani
PY  - 2026
DA  - 2026/10/01
JO  - Clinical neuropsychiatry
DO  - 10.36131/cnfioritieditore20260506
UR  - https://europepmc.org/article/MED/42909936
AB  - Objective  the clinical management of adult attention-deficit/hyperactivity disorder (ADHD) in Italy takes place without consolidated national guidelines and within a regulatory framework originally designed for paediatric populations. This study aimed to describe psychiatrists' knowledge, diagnostic and therapeutic practices, regulatory awareness, and training needs regarding adult ADHD, and to test whether specific ADHD training, rather than general clinical experience, predicted perceived preparedness.Method  a cross-sectional online survey (AUTO-SAG: ADHD Understanding of Treatment and Orientation: Self-Assessment on Guidance), comprising 57 items across six domains, was distributed to board-certified psychiatrists practising in Tuscany between August 2025 and January 2026.Results  of the 93 respondents, 68 (73.1%; 95% CI: 63.3-81.1) rated their preparedness to manage adult ADHD as poor or absent, and the majority reported limited familiarity with validated diagnostic instruments. Two thirds (66.7%) had never prescribed ADHD-specific medication, with poor pharmacological knowledge cited as the primary reason. The sample was nearly evenly divided between those perceiving underdiagnosis (53.8%) and overdiagnosis (40.9%) as the predominant diagnostic risk. Specific ADHD training was significantly associated with perceived preparedness (OR = 6.27; p < 0.001), whereas years of clinical experience showed no association (ρ = -0.120; p = 0.25); preparedness did not differ significantly across age groups. Despite these gaps, 89.2% expressed willingness to participate in training.Conclusions  targeted education, rather than clinical seniority, may be the most modifiable determinant of perceived preparedness, though structural and regulatory barriers constrain the translation of knowledge into practice.
SN  - 1724-4935
SN  - 2385-0787
ER  -