Döpfner Manfred, Rothenberger Aribert, Sonuga-Barke Edmund
University of Cologne, Child and Adolescent Psychiatry, Köln, Germany.
Eur Child Adolesc Psychiatry. 2004;13 Suppl 1:I130-5. doi: 10.1007/s00787-004-1012-8.
Two areas ripe for future investment in the field of ADHD are identified. ADHD in the preschool years is a key area for future study and development. Many questions relating to its validity and diagnosis remain unanswered, although there is a growing demand for treatment in daily practice. The lack of conformity of diagnosis and treatment of children with ADHD in daily practice to international best-practice guidelines represent unsolved problems. Investment in ADHD networks connecting different services and different professions across European nations may help to reduce these problems.
To describe recent developments and future trends in relation to preschool ADHD and ADHD clinical network.
Selective review and interpretation of empirical data.
Further studies are required to disentangle the various pathways into ADHD during preschool especially in relation to the background of early gene-environment interaction. This will improve the management of preschoolers with ADHD especially in the area of prevention and risk reduction. There will be an increasing demand for networks for the diagnosis and treatment of children with ADHD.
确定了多动症领域未来两个适合投资的领域。学龄前儿童多动症是未来研究和发展的关键领域。尽管日常实践中对治疗的需求不断增加,但许多与其有效性和诊断相关的问题仍未得到解答。日常实践中多动症儿童的诊断和治疗与国际最佳实践指南不一致,这是尚未解决的问题。投资建立连接欧洲各国不同服务和不同专业的多动症网络可能有助于减少这些问题。
描述与学龄前多动症和多动症临床网络相关的最新发展和未来趋势。
对实证数据进行选择性回顾和解读。
需要进一步研究以理清学龄前儿童患多动症的各种途径,特别是与早期基因-环境相互作用背景相关的途径。这将改善多动症学龄前儿童的管理,尤其是在预防和降低风险方面。对多动症儿童诊断和治疗网络的需求将不断增加。