Brook Uzi, Boaz Mona
Department of Pediatrics, Edith Wolfson Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Holon, Israel.
Patient Educ Couns. 2005 Aug;58(2):187-91. doi: 10.1016/j.pec.2004.08.011.
Three hundred and eight pupils in the age group 12-18 years were interviewed and examined. They had been diagnosed as having attention deficit and hyperactivity disorder (ADHD) and learning disabilities (LD), and were attending a high school devoted to special education. Their classification into subgroups was as follows: ADHD - inattentive (I) = 22.1%, ADHD - hyperactivity/impulsivity (HI) = 12.3% and combined = 42.2%. Only 25% of them were treated by methylphenidate (Ritalin). Ninety-four percent of them were diagnosed with comorbidity of 'learning disabilities'. Thirty-four percent of them reported being severely stressed when going to school and sitting in class. Their complaints were: tiredness and excessive needs to sleep, frequent quarrelling with close friends, feeling different from other classmates and having low self-esteem (SE). They complaint that their parents don't understand them. Things that irritated them the most were being lied to and coercion by others. The authors suggest to consider ADHD/LD as neurobehavioral disability. It is mandatory to prepare them for adult life with proper social skills and a suitable occupation.
对308名年龄在12至18岁的学生进行了访谈和检查。他们被诊断患有注意力缺陷多动障碍(ADHD)和学习障碍(LD),就读于一所专门从事特殊教育的高中。他们被分为以下亚组:注意力不集中型ADHD(I)=22.1%,多动/冲动型ADHD(HI)=12.3%,混合型=42.2%。其中只有25%的人接受了哌甲酯(利他林)治疗。他们中有94%被诊断患有“学习障碍”合并症。34%的人表示上学和上课时有严重的压力感。他们的抱怨包括:疲倦和过度嗜睡、经常与亲密朋友争吵、感觉与其他同学不同以及自尊心低(SE)。他们抱怨父母不理解他们。最让他们恼火的事情是被他人欺骗和强迫。作者建议将ADHD/LD视为神经行为障碍。必须通过适当的社交技能和合适的职业为他们成年后的生活做好准备。