Abanilla Patricia Karen, Hannahs Greg A, Wechsler Robyn, Silva Raul R
Division of Child and Adolescent Psychiatry, New York University School of Medicine, NY 10016-9196, USA.
Psychiatr Q. 2005 Fall;76(3):271-81. doi: 10.1007/s11126-005-2980-7.
Many children with Pervasive Developmental Disorders (PDD) display problematic behaviors similar to those seen in children with Attention Deficit Hyperactivity Disorder (ADHD). This paper will look at the controversy concerning diagnosing comorbid ADHD in children who meet criteria for PDD and review the existing literature examining the efficacy of stimulants in these particular set of behaviors or symptom clusters (hyperactivity, impulsivity and inattention). The potential drawbacks of using stimulants in a population of children and adolescents who exhibit symptoms of PDD and ADHD will be discussed. Finally, this review will also attempt to define potential areas of future research to examine the utility of the psychostimulants in children and adolescents with PDD and symptoms of ADHD.
许多患有广泛性发育障碍(PDD)的儿童表现出的问题行为与注意力缺陷多动障碍(ADHD)儿童相似。本文将探讨关于诊断符合PDD标准的儿童共病ADHD的争议,并回顾现有文献,这些文献研究了兴奋剂对这些特定行为或症状群(多动、冲动和注意力不集中)的疗效。还将讨论在表现出PDD和ADHD症状的儿童及青少年群体中使用兴奋剂的潜在弊端。最后,本综述还将尝试界定未来研究的潜在领域,以检验精神兴奋剂在患有PDD和ADHD症状的儿童及青少年中的效用。