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儿童注意缺陷多动障碍睡眠问题评估与治疗框架。

A framework for the assessment and treatment of sleep problems in children with attention-deficit/hyperactivity disorder.

机构信息

Department of Psychology, Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

Pediatr Clin North Am. 2011 Jun;58(3):667-83. doi: 10.1016/j.pcl.2011.03.004.

DOI:10.1016/j.pcl.2011.03.004
PMID:21600348
Abstract

Children with attention-deficit/hyperactivity disorder (ADHD) have high rates of sleep problems and sleep disorders. It is critical that pediatricians assess for sleep problems during the course of ADHD assessment and when treating children with stimulant medication. Sleep must be considered in the differential diagnosis and in terms of comorbidity with ADHD. The most common sleep problem in children with ADHD is insomnia, and the first line of treatment should be the implementation of behavioral interventions rather than medication. More research is needed to determine if children with ADHD respond to behavioral interventions in a similar manner as typically developing children.

摘要

患有注意缺陷多动障碍(ADHD)的儿童睡眠问题和睡眠障碍的发生率很高。儿科医生在 ADHD 评估期间以及在使用兴奋剂药物治疗儿童时评估睡眠问题至关重要。在鉴别诊断和 ADHD 共病方面,都必须考虑睡眠问题。患有 ADHD 的儿童最常见的睡眠问题是失眠,一线治疗方法应该是实施行为干预而不是药物治疗。需要进一步研究以确定 ADHD 儿童是否以与正常发育儿童相似的方式对行为干预产生反应。

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