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成人注意力缺陷多动障碍:一种新疾病?

Adult ADHD: A new disease?

作者信息

Zalsman Gil, Shilton Tal

机构信息

a Child and Adolescent Division , Geha Mental Health Center , Petah Tikva , Israel ;

b Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel ;

出版信息

Int J Psychiatry Clin Pract. 2016;20(2):70-6. doi: 10.3109/13651501.2016.1149197. Epub 2016 Apr 7.

Abstract

OBJECTIVES

Until recently, it was believed that attention deficit and hyperactivity disorder (ADHD) are outgrown by the end of adolescence and the beginning of adulthood. The purpose of this review is to describe the characteristics of the disease in adults, depict comorbidities that accompany it, and expand the scope over methods of diagnosis and treatment of these ages.

METHODS

A search was conducted in the PubMed/MEDLINE database for relevant key words 'ADHD', 'attention deficit', 'hyperactivity' and 'adult'. Secondary search parameters were 'comorbid', 'prevalence', 'epidemiology', 'therapy' and 'drug therapy'. Search was limited to 'English' and 'Humans'.

RESULTS

Over the years, the persistent nature of the disorder has been clarified, elucidating prevalence rate, gender differences and subtype shifts among adult ADHD population. Nevertheless, even today, there is only limited awareness of the existence of the disorder across one's lifespan, its consequences and the appropriate treatment.

CONCLUSIONS

Our results emphasise the growing awareness of adult psychosocial impairments due to ADHD symptoms and comorbidities, as well as the need for further collaboration among practitioners and mental health-care professionals to better identify the condition and allow for effective treatment.

摘要

目的

直到最近,人们还认为注意力缺陷多动障碍(ADHD)在青春期结束和成年期开始时会自愈。本综述的目的是描述成人期该疾病的特征,描绘伴随该疾病的共病情况,并扩大对这些年龄段诊断和治疗方法的研究范围。

方法

在PubMed/MEDLINE数据库中使用关键词“ADHD”、“注意力缺陷”、“多动”和“成人”进行检索。二次检索参数为“共病”、“患病率”、“流行病学”、“治疗”和“药物治疗”。检索仅限于“英语”和“人类”。

结果

多年来,该疾病的持续性已得到明确,阐明了成人ADHD人群的患病率、性别差异和亚型转变。然而,即使在今天,人们对该疾病在整个生命周期中的存在、其后果以及适当治疗的认识仍然有限。

结论

我们的结果强调,人们越来越意识到ADHD症状和共病对成人心理社会功能的损害,以及从业者和精神卫生保健专业人员之间需要进一步合作,以更好地识别病情并进行有效治疗。

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