Barkley Russell A
Department of Psychiatry, State University of New York Upstate Medical University, Syracuse, USA.
J Clin Psychiatry. 2008 Dec;69(12):e36. doi: 10.4088/jcp.1208e36.
The diagnostic criteria for attention-deficit/hyperactivity disorder (ADHD) listed in the DSMIV- TR were developed for children, and few are suitable for diagnosing adult patients. Problem areas in the criteria include symptom descriptions, diagnostic threshold cutoff, gender bias, and age at onset. Appropriate diagnostic criteria for adults may be added to the DSM-V, but, until that time, clinicians should use modifications to the current criteria.
《精神疾病诊断与统计手册》第四版修订版（DSM-IV-TR）中列出的注意力缺陷多动障碍（ADHD）诊断标准是针对儿童制定的，很少适用于诊断成年患者。这些标准中的问题领域包括症状描述、诊断阈值界限、性别偏见和发病年龄。针对成年人的适当诊断标准可能会被添加到《精神疾病诊断与统计手册》第五版（DSM-V）中，但在此之前，临床医生应使用对当前标准的修改版。
