Adamo Nicoletta, Seth Sarah, Coghill David
National Health Service Tayside, Child and Adolescent Mental Health Service, Dundee, UK.
Expert Rev Clin Pharmacol. 2015;8(4):383-97. doi: 10.1586/17512433.2015.1050379.
A substantial body of evidence has supported the efficacy and safety of pharmacological treatment available for attention deficit/hyperactivity disorder (ADHD). There is increasing agreement that the important treatment outcomes for ADHD extend beyond improvement in core symptoms and that a more generic (or global) concept of remission is the overarching goal of treatment. However, there is no consensus on the best definition of remission or on how best to conceptualize and measure broader treatment outcomes. In this article, we provide an overview of the various methods and approaches to measuring treatment outcomes for ADHD with respect to symptoms, impairment, quality of life, adverse events and safety as well as cognition. We will describe the ways that they may be used within routine clinical practice and think ahead about the kinds of studies that are required to move the field forward.
大量证据支持了可用于治疗注意力缺陷多动障碍(ADHD)的药物治疗的有效性和安全性。越来越多的人达成共识,即ADHD的重要治疗结果不仅限于核心症状的改善,更广泛的(或整体的)缓解概念是治疗的首要目标。然而,对于缓解的最佳定义以及如何最好地概念化和衡量更广泛的治疗结果,目前尚无共识。在本文中,我们概述了测量ADHD治疗结果的各种方法和途径,涉及症状、损害、生活质量、不良事件和安全性以及认知。我们将描述它们在常规临床实践中的使用方式,并前瞻性地思考推动该领域发展所需的各类研究。