Willis Renece, Dhakras Suyog, Cortese Samuele
Academic Unit of Psychology, University of Southampton, Southampton, UK.
Solent NHS Trust, Southampton, UK.
Curr Dev Disord Rep. 2017;4(3):78-84. doi: 10.1007/s40474-017-0116-z. Epub 2017 Jul 18.
To systematically review the literature on the prevalence and pharmacological treatment of ADHD in looked-after children (LAC).
LAC are a very challenging population from a clinical and psychosocial standpoint, with higher mental health needs compared to non LAC. To date, no systematic review on the prevalence of ADHD, and its treatment, in LAC is available.
We searched Pubmed, PsycInfo EMBASE + EMBASE CLASSIC, OVID Medline and Web of Science up to November 9 th, 2016. We found 24 papers meeting our criteria. The vast majority of the retained studies are from the USA and show rates of ADHD and of its pharmacological treatment substantially higher in LAC than those reported in national estimates. Future studies from countries other than the USA, aiming to understand the most cost-effective strategies, in the short as well as long term, to manage symptoms of ADHD in LAC are needed.
系统回顾有关受照料儿童（LAC）中注意缺陷多动障碍（ADHD）患病率及药物治疗的文献。
从临床和社会心理角度来看，LAC是一个极具挑战性的群体，与非LAC儿童相比，他们有更高的心理健康需求。迄今为止，尚无关于LAC中ADHD患病率及其治疗的系统综述。
截至2016年11月9日，我们检索了PubMed、PsycInfo、EMBASE + EMBASE CLASSIC、OVID Medline和科学引文索引数据库。我们发现24篇论文符合我们的标准。绝大多数纳入研究来自美国，结果显示LAC中ADHD及其药物治疗的比例显著高于全国估计数。需要来自美国以外国家的未来研究，以了解在短期和长期内管理LAC中ADHD症状的最具成本效益的策略。
