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基于测量的注意缺陷/多动障碍和破坏性行为障碍治疗中的护理。

Measurement-Based Care in the Treatment of Attention-Deficit/Hyperactivity Disorder and Disruptive Behavior Disorders.

机构信息

Donald & Barbara Zucker School of Medicine at Hofstra/Northwell, 7559 263rd Street, Glen Oaks, NY 11004, USA.

University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MS 7719, San Antonio, TX 78229, USA.

出版信息

Child Adolesc Psychiatr Clin N Am. 2020 Oct;29(4):663-674. doi: 10.1016/j.chc.2020.06.005. Epub 2020 Jul 29.

DOI:10.1016/j.chc.2020.06.005
PMID:32891368
Abstract

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common childhood psychiatric diagnoses. The core symptoms of ADHD include inattention, impulsivity, and hyperactivity. ADHD entails impairments that have extensive and profound detrimental effects on many critical developmental areas. As a valid neurobiologic condition that causes significant impairments in those affected, it is one of the best-researched disorders in medicine. Measurement-based care in treatment of ADHD is critical in establishing a diagnosis, determining a treatment target, and assessing treatment response. This article highlights the rationale for measurement-based care in ADHD, how to implement measurement-based care in clinical practice, and common challenges encountered.

摘要

注意缺陷多动障碍(ADHD)是最常见的儿童精神科诊断之一。ADHD 的核心症状包括注意力不集中、冲动和多动。ADHD 会导致广泛而深远的损害,对许多关键的发育领域都有影响。作为一种有效的神经生物学疾病,它会对患者造成显著的损害,因此也是医学中研究最多的疾病之一。在 ADHD 的治疗中,基于测量的护理对于建立诊断、确定治疗目标和评估治疗反应至关重要。本文重点介绍了 ADHD 中基于测量的护理的基本原理、如何在临床实践中实施基于测量的护理,以及常见的挑战。

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