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注意缺陷多动障碍合并物质使用障碍的治疗挑战

Therapeutic challenges of attention-deficit hyperactivity disorder with substance use disorders.

作者信息

Bukstein Oscar G

机构信息

University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, 3811 O'Hara Street, Pittsburgh, PA 15213, USA.

出版信息

Expert Rev Neurother. 2006 Apr;6(4):541-9. doi: 10.1586/14737175.6.4.541.

DOI:10.1586/14737175.6.4.541
PMID:16623653
Abstract

Attention-deficit hyperactivity disorder (ADHD), a common neuropsychiatric disorder of childhood, adolescence and adulthood, is frequently comorbid with substance use disorders (SUDs) in both adolescents and adults. This paper will provide an overview of the relationship between ADHD and SUDs and discuss the primary areas of therapeutic challenge in the treatment of individuals with comorbid ADHD and SUDs, including the diagnosis of ADHD in populations with SUDs, selecting appropriate agents for use and prevention of abuse and/or diversion of the therapeutic pharmacological agents used in ADHD treatment. The authors will also provide a discussion on the future of research and treatment in this area and key issues for clinicians.

摘要

注意缺陷多动障碍(ADHD)是一种常见于儿童、青少年及成人的神经精神疾病,在青少年和成人中常与物质使用障碍(SUDs)共病。本文将概述ADHD与SUDs之间的关系,并讨论治疗ADHD与SUDs共病个体时面临的主要治疗挑战领域,包括在患有SUDs的人群中诊断ADHD、选择合适的用药以及预防ADHD治疗中使用的治疗药物被滥用和/或转移。作者还将讨论该领域未来的研究和治疗以及临床医生面临的关键问题。

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The complicated relationship between attention deficit/hyperactivity disorder and substance use disorders.注意缺陷多动障碍与物质使用障碍之间复杂的关系。
Curr Psychiatry Rep. 2014 Mar;16(3):436. doi: 10.1007/s11920-013-0436-6.
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Substance use disorders in children and adolescents with attention-deficit/hyperactivity disorder: implications for treatment and the role of the primary care physician.
患有注意力缺陷/多动障碍的儿童和青少年的物质使用障碍:对治疗的影响及初级保健医生的作用
Prim Care Companion J Clin Psychiatry. 2008;10(3):211-21. doi: 10.4088/pcc.v10n0306.