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注意缺陷多动障碍的循证药物治疗

Evidence-based pharmacotherapy for attention-deficit hyperactivity disorder.

作者信息

Biederman Joseph, Spencer Thomas, Wilens Timothy

机构信息

Massachusetts General Hospital, ACC-725, Boston, MA 02114, USA.

出版信息

Int J Neuropsychopharmacol. 2004 Mar;7(1):77-97. doi: 10.1017/S1461145703003973. Epub 2004 Jan 21.

Abstract

There is a substantial body of literature documenting the efficacy of multiple unrelated pharmacological agents in attention-deficit hyperactivity disorder (ADHD) individuals throughout the life-cycle. The available literature indicates the important role of psychopharmacological agents in the reduction of the core symptoms of ADHD and associated impairments. The literature documents that stimulants not only improve abnormal behaviours of ADHD, but also improves self-esteem, cognition, and social and family function. However, response varied in different age groups and with certain comorbidities. In addition there is a large body of literature documenting the efficacy of atomoxetine which shows improvement in these same domains. More research is needed on alternative pharmacological treatments and to further evaluate established therapeutics beyond school-aged Caucasian boys. Further, more research is needed on the efficacy of treatment for comorbid ADHD, use of combined medications, and the combination of medication and psychosocial treatment.

摘要

有大量文献记录了多种不相关的药物制剂在整个生命周期中对注意力缺陷多动障碍(ADHD)个体的疗效。现有文献表明,精神药物制剂在减轻ADHD的核心症状及相关损害方面具有重要作用。文献记载,兴奋剂不仅能改善ADHD的异常行为,还能提高自尊心、认知能力以及社交和家庭功能。然而,不同年龄组和某些合并症患者的反应有所不同。此外,有大量文献记录了托莫西汀的疗效,其在这些相同领域也有改善作用。需要对替代药物治疗进行更多研究,并进一步评估学龄期白人男孩以外人群的现有治疗方法。此外,还需要对ADHD合并症的治疗效果、联合用药的使用以及药物与心理社会治疗的联合进行更多研究。

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