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成人注意力缺陷多动障碍

Attention deficit hyperactivity disorder in adults.

作者信息

Perera M H, Padmasekara G, Perera C M

机构信息

Department of Psychiatry, Monash University, Australia.

出版信息

Kathmandu Univ Med J (KUMJ). 2007 Apr-Jun;5(2):225-9.

Abstract

INTRODUCTION

Attention deficit hyperactivity disorder (ADHD) is a disorder that begins in childhood, characterised by hyperactivity, inattentiveness and impulsivity. The disorder persists into adulthood but with some differences in the way it presents.

METHODS

This case series included 29 adult patients from a metropolitan, office-based, private psychiatric consultant practice over a period of four years.

RESULTS AND DISCUSSION

72% were males and 28% were females, with a mean age of 28 years. Management involved biological, psychological and educational approaches. Stimulants, including dexamphetamine and methylphenidate, were mainstay in biological treatment and non-stimulant medications, such as, atomoxetine was used infrequently. Comorbidities such as substance abuse and mood disorders were common among the study group.

CONCLUSION

ADHD is an illness, the symptoms of which may persist into adulthood. With diagnosis of the disease and the use of stimulants, adjunctive medications as appropriate, and behavioural interventions.

摘要

引言

注意缺陷多动障碍(ADHD)是一种始于童年的疾病,其特征为多动、注意力不集中和冲动。该疾病会持续到成年期,但在表现方式上会有所不同。

方法

本病例系列包括来自一家大都市的、基于办公室的私人精神科咨询诊所的29名成年患者,时间跨度为四年。

结果与讨论

72%为男性,28%为女性,平均年龄为28岁。治疗方法包括生物学、心理学和教育方法。兴奋剂,包括右旋苯丙胺和哌甲酯,是生物学治疗的主要药物,而非兴奋剂药物,如托莫西汀则很少使用。物质滥用和情绪障碍等共病在研究组中很常见。

结论

ADHD是一种疾病,其症状可能会持续到成年期。通过疾病诊断、使用兴奋剂、适当的辅助药物以及行为干预。

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