Charach Alice, Gajaria Amy
Department of Psychiatry, University of Toronto, Hospital for Sick Children, 555 University Avenue, Toronto, OW, M5G 1X8, Canada.
Expert Rev Neurother. 2008 Oct;8(10):1563-71. doi: 10.1586/14737175.8.10.1563.
Attention-deficit/hyperactivity disorder (ADHD) is a common psychiatric disorder of childhood, characterized by excessive inattention, hyperactivity and impulsivity. Effective medication exists for the condition, yet suboptimal long-term effects persist for children with ADHD. Poor adherence is a common issue for individuals with chronic conditions, including children and those with psychiatric conditions, and ADHD is no exception. This review examines the available evidence regarding patterns of long-term use of stimulant medication and the predictors of medication discontinuation among children with ADHD, and suggests future clinical and research directions for improving adherence in children with ADHD.
注意缺陷多动障碍(ADHD)是一种常见的儿童精神疾病,其特征为过度注意力不集中、多动和冲动。针对该病症有有效的药物治疗,但ADHD儿童的长期效果仍不理想。依从性差是包括儿童和患有精神疾病的个体在内的慢性病患者的常见问题,ADHD也不例外。本综述研究了关于ADHD儿童使用兴奋剂药物的长期模式以及药物停用预测因素的现有证据,并提出了改善ADHD儿童依从性的未来临床和研究方向。