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注意缺陷多动障碍中的共病——对诊断和干预的影响。

Co-existing disorders in ADHD -- implications for diagnosis and intervention.

作者信息

Gillberg Christopher, Gillberg I Carina, Rasmussen Peder, Kadesjö Björn, Söderström Henrik, Råstam Mania, Johnson Mato, Rothenberger Aribert, Niklasson Lena

机构信息

Göteborg University, Dept. of Child & Adolescent Psychiatry, Kungsgatan 12, 41119 Göteborg, Sweden.

出版信息

Eur Child Adolesc Psychiatry. 2004;13 Suppl 1:I80-92. doi: 10.1007/s00787-004-1008-4.

DOI:10.1007/s00787-004-1008-4
PMID:15322959
Abstract

BACKGROUND

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.

OBJECTIVE

To provide the reader with basic information about clinics and treatment of "comorbidity" in ADHD.

METHOD

Review of the empirically based literature.

RESULTS

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.

CONCLUSION

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.

摘要

背景

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。

目的

为读者提供有关ADHD中“共病”的临床及治疗的基本信息。

方法

对基于实证的文献进行综述。

结果

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。

结论

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。

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本文引用的文献

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The worldwide prevalence of ADHD: is it an American condition?注意缺陷多动障碍(ADHD)的全球患病率:这是一种美国病吗?
World Psychiatry. 2003 Jun;2(2):104-13.
2
Attention deficits in children with 22q.11 deletion syndrome.22q.11缺失综合征患儿的注意力缺陷
Dev Med Child Neurol. 2005 Dec;47(12):803-7. doi: 10.1017/S0012162205001702.
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Bipolar disorder, schizophrenia, and other psychotic disorders in adults with childhood onset AD/HD and/or autism spectrum disorders.患有儿童期起病的注意缺陷多动障碍(AD/HD)和/或孤独症谱系障碍的成年人中的双相情感障碍、精神分裂症及其他精神障碍。
神经活动模式在时间和空间上稳定性的降低预示着多动症儿童的认知控制缺陷。
Nat Commun. 2025 Mar 8;16(1):2346. doi: 10.1038/s41467-025-57685-x.
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Motor difficulties in children with neurodevelopmental conditions: a report from a cross-national study in Belgian and Italian children.神经发育障碍儿童的运动困难:一项对比利时和意大利儿童的跨国研究报告
Eur J Pediatr. 2025 Feb 4;184(2):174. doi: 10.1007/s00431-025-06009-8.
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Effects of Methylphenidate and Atomoxetine Treatment on Improvement of Motor Coordination in Children With Attention-Deficit/Hyperactivity Disorder.哌甲酯和托莫西汀治疗对注意缺陷/多动障碍儿童运动协调性改善的影响。
Psychiatry Investig. 2025 Jan;22(1):84-92. doi: 10.30773/pi.2024.0198. Epub 2025 Jan 15.
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Efficacy of behavior modification training combined with electroencephalographic biofeedback therapy for attention deficit hyperactivity disorder in children: a randomized controlled trial.行为矫正训练联合脑电图生物反馈疗法治疗儿童注意缺陷多动障碍的疗效:一项随机对照试验
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