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成人注意力缺陷多动障碍:家庭医学中的评估与治疗

Adult ADHD: evaluation and treatment in family medicine.

作者信息

Searight H R, Burke J M, Rottnek F

机构信息

Family Medicine of St. Louis Residency Program, Missouri 63139, USA.

出版信息

Am Fam Physician. 2000 Nov 1;62(9):2077-86, 2091-2.

PMID:11087189
Abstract

Attention-deficit/hyperactivity disorder (ADHD) affects 30 to 50 percent of adults who had ADHD in childhood. Accurate diagnosis of ADHD in adults is challenging and requires attention to early development and symptoms of inattention, distractibility, impulsivity and emotional lability. Diagnosis is further complicated by the overlap between the symptoms of adult ADHD and the symptoms of other common psychiatric conditions such as depression and substance abuse. While stimulants are a common treatment for adult patients with ADHD, antidepressants may also be effective. Cognitive-behavioral skills training and psychotherapy are useful adjuncts to pharmacotherapy.

摘要

注意缺陷多动障碍(ADHD)影响着30%至50%童年时期患有ADHD的成年人。准确诊断成人ADHD具有挑战性,需要关注早期发育以及注意力不集中、易分心、冲动和情绪不稳定等症状。成人ADHD的症状与其他常见精神疾病如抑郁症和药物滥用的症状重叠,这使得诊断更加复杂。虽然兴奋剂是成人ADHD患者的常见治疗方法,但抗抑郁药可能也有效。认知行为技能训练和心理治疗是药物治疗的有用辅助手段。

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