French William P
Pediatr Ann. 2015 Apr;44(4):160-8. doi: 10.3928/00904481-20150410-11.
Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood. In part 1 of this article, information regarding primary care assessment of ADHD was presented. Part 2 focuses on best practice guidelines for treatment once the diagnosis has been established. For most children, successful treatment of ADHD requires a multicomponent approach comprised of patient and family psychoeducation, use of medications approved by the US Food and Drug Administration (eg, stimulants) and/or behavioral interventions, and management of any psychiatric comorbid conditions. Furthermore, as ADHD is a chronic illness, primary care physicians will need to frequently reassess their patients and make treatment adjustments as needed.
注意力缺陷多动障碍(ADHD)是儿童期最常见的神经行为障碍。在本文的第1部分中,介绍了有关ADHD初级保健评估的信息。第2部分重点关注确诊后治疗的最佳实践指南。对于大多数儿童而言,成功治疗ADHD需要采取多方面的方法,包括对患者和家属进行心理教育、使用美国食品药品监督管理局批准的药物(如兴奋剂)和/或行为干预措施,以及对任何精神共病情况进行管理。此外,由于ADHD是一种慢性病,初级保健医生需要经常重新评估患者,并根据需要调整治疗方案。