Coogan A N, Dobrean A, Donev R M, Mateescu L, Müller U, Thome J, Voinescu B I
Department of Psychology, National University of Ireland Maynooth, Maynooth, Leinster, Republic of Ireland.
Atten Defic Hyperact Disord. 2012 Mar;4(1):41-51. doi: 10.1007/s12402-012-0073-7. Epub 2012 Feb 16.
Attention deficit hyperactivity disorder (ADHD) in adults is a prevalent, yet under-appreciated, under-researched and poorly understood condition. Given this, it is imperative that information and awareness regarding this condition are made more widespread, both amongst the general public and amongst healthcare professionals. Further, given our poor understanding of the aetiology of the condition, meaningful translational research that migrates into and better informs clinical practice must be a priority. In this brief review we highlight areas regarding the clinical diagnosis and management of ADHD in adults (guidelines, rating scales, pharmacotherapy, psychotherapy) as well as areas of promising translational research (genetics, neuroimaging, sleep and circadian rhythms, animal models of ADHD). We address some of the challenges presented for both clinicians and healthcare providers and research scientists working to improve the lives of those adults with ADHD.
成人注意力缺陷多动障碍(ADHD)是一种普遍存在但未得到充分重视、研究不足且了解甚少的病症。鉴于此,在普通公众和医疗专业人员中更广泛地传播有关该病症的信息并提高认识势在必行。此外,鉴于我们对该病症病因的了解不足,必须优先开展有意义的转化研究,将其转化为临床实践并为其提供更好的信息支持。在这篇简短的综述中,我们重点介绍了成人ADHD临床诊断和管理方面的内容(指南、评定量表、药物治疗、心理治疗)以及有前景的转化研究领域(遗传学、神经影像学、睡眠和昼夜节律、ADHD动物模型)。我们探讨了临床医生、医疗服务提供者以及致力于改善ADHD成人患者生活的研究科学家所面临的一些挑战。