Rie H E
Am J Dis Child. 1975 Jul;129(7):783-9. doi: 10.1001/archpedi.1975.02120440009003.
The various childhood problems that are often subsumed under the heading of "hyperactivity" occur in various combinations and, apparently, for various reasons. The designation does not define a homogeneous group of children, does not consistently point to a common cause, and has treatment implications only in the sense that multiple simultaneous approaches must typically be considered. Stimulant drugs, which seem frequently to be used for control of so-called hyperactivity, are an inadequate treatment when used alone, have a number of poorly studied effects, some of which are apparently negative, and may obscure problems other than the hyperactivity itself, which then may be ignored. There is some evidence now available that classroom learning does not improve with drug treatment despite common assumptions to the contrary.
各种常被归入“多动症”范畴的儿童问题,以各种不同的组合出现,而且显然有着各种不同的原因。这个名称所涵盖的儿童群体并非同质化的,也并非始终指向一个共同的病因,其治疗意义仅在于通常必须考虑多种同时进行的治疗方法。兴奋剂药物似乎经常被用于控制所谓的多动症,但单独使用时是一种不充分的治疗方法,有许多研究不足的影响,其中一些显然是负面的,而且可能掩盖多动症本身之外的其他问题,而这些问题随后可能被忽视。现在有一些证据表明,尽管人们普遍有相反的看法,但药物治疗并不能改善课堂学习情况。