Himelstein J, Newcorn J H, Halperin J M
Neuropsychology Doctoral Subprogram, Department of Psychology, The Graduate Center of CUNY, 365 Fifth Avenue, NY, NY, 10016, USA.
Front Biosci. 2000 Apr 1;5:D461-78. doi: 10.2741/himelste.
Attention-deficit hyperactivity disorder is a childhood psychiatric disorder characterized by inattention, impulsivity, and overactivity. Considerable research has focused on the neurobiological substrates of this disorder. Although the specific nature of the brain dysfunction remains elusive, progress has been made and several models of the underlying pathophysiology have been suggested. Research in the fields of neuropsychology, neuroimaging, neurochemistry, and molecular genetics, which points to a multifactorial etiology for the disorder, is reviewed. While several inconsistencies exist across studies, evidence supports dysfunction of fronto-striatal dopaminergic and noradrenergic circuits with resultant executive deficits in cognitive functioning.
注意力缺陷多动障碍是一种儿童期精神障碍,其特征为注意力不集中、冲动和多动。大量研究聚焦于该障碍的神经生物学基础。尽管大脑功能障碍的具体性质仍不清楚,但已取得了进展,并提出了几种潜在病理生理学模型。本文综述了神经心理学、神经影像学、神经化学和分子遗传学领域的研究,这些研究表明该障碍病因是多因素的。虽然各项研究之间存在一些不一致之处,但证据支持额叶 - 纹状体多巴胺能和去甲肾上腺素能回路功能障碍,进而导致认知功能方面的执行缺陷。