Huss M
Kinder- und Jugendpsychiatrie, Charité Universitätsmedizin, Berlin.
MMW Fortschr Med. 2004 Mar 18;146(12):36-7, 39.
ADHD was long considered to be the attention deficit disorder of childhood. Observations over the long-term have, however, shown that some one-third of victims also continue to meet the criteria for ADHD in adulthood too. In many cases, such additional psychiatric conditions as depression or an addictive illness are also to be seen. Today, ADHD is believed to be a mainly heritable disorder with deviations in the dopaminergic system. Re-evaluation of the condition now focuses attention on the attention-related, rather than the hyperactivity-related aspects of the problem. Currently, the best therapeutic results are achieved through the use of stimulants coupled with intensive paediatric psychiatric care.
注意力缺陷多动障碍长期以来被认为是一种儿童期的注意力缺陷障碍。然而,长期观察表明,约三分之一的患者在成年后仍符合注意力缺陷多动障碍的标准。在许多情况下,还会出现诸如抑郁症或成瘾性疾病等其他精神疾病。如今,注意力缺陷多动障碍被认为是一种主要由遗传导致的疾病,与多巴胺能系统异常有关。目前对该病症的重新评估将重点放在了与注意力相关而非多动相关的问题上。当前,通过使用兴奋剂并结合强化的儿童精神科护理可取得最佳治疗效果。