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欧洲成人注意缺陷多动障碍的药物治疗。

Pharmacological treatment of adult ADHD in Europe.

机构信息

Neurocenter - Saarland University Hospital, Homburg/Saar, Germany.

出版信息

World J Biol Psychiatry. 2011 Sep;12 Suppl 1:89-94. doi: 10.3109/15622975.2011.603229.

DOI:10.3109/15622975.2011.603229
PMID:21906003
Abstract

OBJECTIVES

It is now widely accepted that ADHD is a frequent chronic condition with a lifelong perspective. Adult ADHD is a reliable and valid diagnosis. The disorder and the co-morbid conditions can place a severe burden on the patients, their families and their partners, requiring adequate treatment.

METHODS

A systematic literature search was conducted to review the available pharmacological treatment options for adults with ADHD in European countries.

RESULTS

Supported by meta-analyses, stimulant medication is the first-line pharmacological therapy for adult ADHD. However, from a European perspective the pharmacological treatment options are very limited and only a minority of adults with ADHD in European countries receives adequate treatment.

CONCLUSIONS

With reference to the epidemiological data, it seems very likely that the number of people with ADHD in Europe seeking multimodal treatment including pharmacotherapy, psychotherapy, coaching or other therapeutic services will increase profoundly during the coming years.

摘要

目的

目前广泛认为,ADHD 是一种常见的慢性疾病,具有终身性。成人 ADHD 是一种可靠且有效的诊断。该疾病及其合并症会给患者、患者的家人和伴侣带来严重的负担,需要进行充分的治疗。

方法

进行了系统的文献检索,以回顾欧洲国家成人 ADHD 患者可用的药物治疗选择。

结果

基于荟萃分析,兴奋剂药物是成人 ADHD 的一线药物治疗选择。然而,从欧洲的角度来看,药物治疗选择非常有限,只有少数欧洲国家的 ADHD 患者接受了充分的治疗。

结论

根据流行病学数据,在未来几年,欧洲寻求包括药物治疗、心理治疗、辅导或其他治疗服务在内的多模式治疗的 ADHD 患者数量很可能会大幅增加。

相似文献

1
Pharmacological treatment of adult ADHD in Europe.欧洲成人注意缺陷多动障碍的药物治疗。
World J Biol Psychiatry. 2011 Sep;12 Suppl 1:89-94. doi: 10.3109/15622975.2011.603229.
2
A comparison of the efficacy of medications for adult attention-deficit/hyperactivity disorder using meta-analysis of effect sizes.采用效应量的荟萃分析比较成人注意缺陷多动障碍药物的疗效。
J Clin Psychiatry. 2010 Jun;71(6):754-63. doi: 10.4088/JCP.08m04902pur. Epub 2009 Dec 29.
3
[Prescribing ritalin in combined modality management of hyperactivity with attention deficit].[在多动伴注意力缺陷的联合治疗中使用利他林进行处方用药]
Encephale. 2001 Sep-Oct;27(5):435-43.
4
[Adult attention deficit/hyperactivity disorder].[成人注意力缺陷多动障碍]
MMW Fortschr Med. 2004 Aug 19;146(33-34):31-4.
5
Pharmacotherapy of attention deficit hyperactivity disorder.注意缺陷多动障碍的药物治疗
Child Adolesc Psychiatr Clin N Am. 2000 Jan;9(1):77-97.
6
Effect of stimulant medications for attention-deficit/hyperactivity disorder on later substance use and the potential for stimulant misuse, abuse, and diversion.用于治疗注意力缺陷/多动障碍的兴奋剂药物对后期物质使用的影响以及兴奋剂被误用、滥用和转移的可能性。
J Clin Psychiatry. 2007;68 Suppl 11:15-22.
7
Diagnosis and treatment of attention deficit hyperactivity disorder (ADHD).注意缺陷多动障碍(ADHD)的诊断与治疗。
NIH Consens Statement. 1998;16(2):1-37.
8
When does it end? Attention-deficit/hyperactivity disorder in the middle aged and older populations.何时才是尽头?中年及老年人群中的注意力缺陷/多动障碍。
Clin Neuropharmacol. 2011 Jul-Aug;34(4):148-54. doi: 10.1097/WNF.0b013e3182206dc1.
9
Treatment of attention-deficit/hyperactivity disorder: overview of the evidence.注意缺陷/多动障碍的治疗:证据综述
Pediatrics. 2005 Jun;115(6):e749-57. doi: 10.1542/peds.2004-2560.
10
Pre-existing cardiovascular conditions and pharmacological treatment of adult ADHD.成人注意缺陷多动障碍的心血管疾病和药物治疗。
Pharmacoepidemiol Drug Saf. 2010 May;19(5):457-64. doi: 10.1002/pds.1931.

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Underdiagnosis of attention-deficit/hyperactivity disorder in adult patients: a review of the literature.成人注意力缺陷/多动障碍的漏诊:文献综述
Prim Care Companion CNS Disord. 2014;16(3). doi: 10.4088/PCC.13r01600. Epub 2014 Jun 12.
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Cost effectiveness of pharmacotherapies for attention-deficit hyperactivity disorder: a systematic literature review.药物治疗注意缺陷多动障碍的成本效益:系统文献回顾。
CNS Drugs. 2012 Jul 1;26(7):581-600. doi: 10.2165/11633900-000000000-00000.