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注意力缺陷多动障碍应得到更多关注——早期干预可避免不必要的痛苦

[ADHD should be given more attention--early interventions prevents unnecessary suffering].

作者信息

Fernell Elisabeth, Nylander Lena, Kadesjö Björn, Gillberg Christopher

机构信息

Neurovetenskap och fysiologi - Gillbergcentrum Gothenburg, Sweden Neurovetenskap och fysiologi - Gillbergcentrum Gothenburg, Sweden.

Vo Vuxenpsykiatri Lund - VUB-teamet Lund, Sweden Vo Vuxenpsykiatri Lund - VUB-teamet Lund, Sweden.

出版信息

Lakartidningen. 2014 Sep 23;111(39):1652-55.

Abstract

ADHD is a common neurodevelopmental/neuropsychiatric disorder affecting about 5 percent of children. About 2-3 percent meet diagnostic criteria in adulthood as well. The core symptoms include inattention with or without hyperactivity/restlessness and impulsivity. The main cognitive deficit involves executive functions, probably related to a weak reward system. Symptoms will affect daily functioning at home, among friends and at school/work. In girls and women particularly, a correct diagnosis of ADHD is often late, or is not at all appropriately considered. Co-existing disorders are common; dyslexia, developmental coordination disorder, emotional lability, conduct disorder, autistic symptoms, obsessive compulsive disorder, depression, bipolar disorder, Tourette syndrome, eating disorder, sleeping disorder, and substance abuse. Extensive research in ADHD has increased knowledge in genetics, neurobiology, neuropsychology, intervention, and treatment. Despite this, many individuals with ADHD are not offered a correct assessment, and accordingly, not given appropriate support and treatment.

摘要

注意力缺陷多动障碍(ADHD)是一种常见的神经发育/神经精神障碍,约5%的儿童受其影响。约2%-3%的成年人也符合诊断标准。核心症状包括注意力不集中,伴有或不伴有多动/坐立不安及冲动。主要的认知缺陷涉及执行功能,可能与奖励系统薄弱有关。症状会影响在家、与朋友相处以及在学校/工作中的日常功能。特别是在女孩和女性中,ADHD的正确诊断往往较晚,或者根本未得到适当考虑。共病很常见;包括诵读困难、发育性协调障碍、情绪不稳定、品行障碍、自闭症症状、强迫症、抑郁症、双相情感障碍、抽动秽语综合征、饮食失调、睡眠障碍和药物滥用。对ADHD的广泛研究增加了在遗传学、神经生物学、神经心理学、干预和治疗方面的知识。尽管如此,许多ADHD患者未得到正确评估,因此也未获得适当的支持和治疗。

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