Kieling Christian, Goncalves Renata R F, Tannock Rosemary, Castellanos Francisco X
Department of Psychiatry, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2350 - 2201A 90035-903, Porto Alegre, RS, Brazil.
Child Adolesc Psychiatr Clin N Am. 2008 Apr;17(2):285-307, viii. doi: 10.1016/j.chc.2007.11.012.
This article addresses the current understanding of the neurobiological bases of attention deficit hyperactivity disorder (ADHD), focusing on empiric research findings that connect genetic and environmental factors to structural and functional brain abnormalities, ultimately leading to a set of age-dependent behavioral manifestations. Section one presents evidence for genetic risk factors for ADHD and discusses the role of potential environmental factors in the etiology of the disorder. Section two focuses on brain imaging studies and how they have helped generate different hypotheses regarding the pathophysiology of ADHD. Finally, the article addresses the longitudinal course of symptoms in ADHD from infancy to adulthood in an attempt to place biological findings for this complex brain disorder in the context of maturation and development.
本文阐述了目前对注意力缺陷多动障碍(ADHD)神经生物学基础的理解,重点关注将遗传和环境因素与大脑结构及功能异常联系起来的实证研究结果,这些异常最终导致了一系列与年龄相关的行为表现。第一部分介绍了ADHD遗传风险因素的证据,并讨论了潜在环境因素在该疾病病因中的作用。第二部分聚焦于脑成像研究,以及这些研究如何有助于产生关于ADHD病理生理学的不同假设。最后,本文探讨了ADHD从婴儿期到成年期症状的纵向发展过程,试图将这一复杂脑部疾病的生物学研究结果置于成熟和发育的背景中。