Gillberg Christopher, Gillberg I Carina, Rasmussen Peder, Kadesjö Björn, Söderström Henrik, Råstam Mania, Johnson Mato, Rothenberger Aribert, Niklasson Lena
Göteborg University, Dept. of Child & Adolescent Psychiatry, Kungsgatan 12, 41119 Göteborg, Sweden.
Eur Child Adolesc Psychiatry. 2004;13 Suppl 1:I80-92. doi: 10.1007/s00787-004-1008-4.
It is only recently that "comorbidity" in ADHD has come to the forefront as one of the most important aspects of the disorder. It is agreed that, often, these problems are at least as important as ADHD in contributing to the longer term outcome in the individual child.
To provide the reader with basic information about clinics and treatment of "comorbidity" in ADHD.
Review of the empirically based literature.
ADHD exists in a surprisingly high frequency together with a broad range of child neuropsychiatric disorders. This is accompanied with many still unresolved treatment problems.
It would not be appropriate to develop ADHD-services where clinicians would only have expertise in ADHD as such. Anyone working with children, adolescents and adults with ADHD would need to have training in general neuropsychiatry. Further research in this field is urgently needed.
直到最近,注意力缺陷多动障碍(ADHD)中的“共病”才作为该疾病最重要的方面之一而备受关注。人们一致认为,通常这些问题在影响个体儿童的长期预后方面至少与ADHD一样重要。
为读者提供有关ADHD中“共病”的临床及治疗的基本信息。
对基于实证的文献进行综述。
ADHD与多种儿童神经精神疾病以惊人的高频率共存。这伴随着许多尚未解决的治疗问题。
仅由仅具备ADHD专业知识的临床医生来开展ADHD服务是不合适的。任何从事ADHD儿童、青少年及成人工作的人员都需要接受普通神经精神病学方面的培训。该领域急需进一步的研究。