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女性中年期注意力缺陷多动障碍:与更年期有何关联?

Midlife ADHD in women: any relevance to menopause?

作者信息

Pines A

机构信息

a Sackler Faculty of Medicine , Tel-Aviv University , Tel-Aviv , Israel.

出版信息

Climacteric. 2016 Oct;19(5):423-5. doi: 10.3109/13697137.2016.1152536. Epub 2016 Feb 25.

Abstract

Recently, there has been a growing interest in better understanding of the adult-type attention deficit hyperactive disorder (ADHD). It is now accepted that many children with ADHD continue to have symptoms later in life, although the characteristics of the disease may change substantially in adults. Data are emerging on ADHD in midlife and old age and some studies analyze gender differences and co-morbidities during the lifespan of ADHD patients. This short communication discusses the possible resemblance of certain menopausal symptoms and those of adult ADHD and the potential contribution of the female hormonal environment. Further, there might be a promising role for psychostimulants, the mainstay of ADHD management, as treatment of impairment of some executive function domains in menopausal women.

摘要

最近,人们对更好地理解成人型注意力缺陷多动障碍(ADHD)的兴趣日益浓厚。现在已经公认,许多患有ADHD的儿童在成年后仍会有症状,尽管该疾病的特征在成年人中可能会有很大变化。关于中年和老年ADHD的数据正在不断涌现,一些研究分析了ADHD患者一生中的性别差异和共病情况。本简短通讯讨论了某些更年期症状与成人ADHD症状可能存在的相似之处,以及女性激素环境的潜在作用。此外,作为ADHD治疗主要手段的精神兴奋剂,可能在治疗更年期女性某些执行功能领域的损害方面发挥有前景的作用。

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