Conflict of Interest Management in Adult Attention-Deficit/Hyperactivity Disorder Clinical Practice Guidelines

Abstract

Clinical practice guidelines (CPGs) require skilled contributors who may have conflicts of interest (COI) that need to be assessed and managed to minimize possible biased influence. Different organizations have unique COI management policies depending on their available expertise, circumstances, and judgment. To inform the development of the American Professional Society of ADHD and Related Disorders (APSARD) COI management procedures, we reviewed the literature. Because there are no CPGs for adult attention-deficit/hyperactivity disorder (ADHD) in the United States, we reviewed COI management policies of related CPGs with a focus on ADHD. There were many common elements, including matching levels of permitted involvement with type of COI. Examples included withdrawals from industry activities and limitations on participation in discussions, deliberations, and/or voting on specific matters. Due to the complexities of COIs, it is impossible to fully operationalize COI management. Ultimately, management of COIs is determined after review by the co-chairs and steering committee in discussion with the task force member. [ Psychiatr Ann . 2023;53(10):455–460.]