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注意力缺陷多动障碍:病因回顾与解决方案评估

ADHD: Reviewing the Causes and Evaluating Solutions.

作者信息

Núñez-Jaramillo Luis, Herrera-Solís Andrea, Herrera-Morales Wendy Verónica

机构信息

División de Ciencias de la Salud, Universidad de Quintana Roo, Chetumal 77039, Quintana Roo, Mexico.

Laboratorio Efectos Terapéuticos de los Canabinoides, Subdirección de Investigación Biomédica, Hospital General Dr. Manuel Gea González, Calz. de Tlalpan 4800, Belisario Domínguez Secc 16, Tlalpan 14080, Ciudad de México, Mexico.

出版信息

J Pers Med. 2021 Mar 1;11(3):166. doi: 10.3390/jpm11030166.

Abstract

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder in which patients present inattention, hyperactivity, and impulsivity. The etiology of this condition is diverse, including environmental factors and the presence of variants of some genes. However, a great diversity exists among patients regarding the presence of these ADHD-associated factors. Moreover, there are variations in the reported neurophysiological correlates of ADHD. ADHD is often treated pharmacologically, producing an improvement in symptomatology, albeit there are patients who are refractory to the main pharmacological treatments or present side effects to these drugs, highlighting the importance of developing other therapeutic options. Different non-pharmacological treatments are in this review addressed, finding diverse results regarding efficacy. Altogether, ADHD is associated with different etiologies, all of them producing changes in brain development, leading to the characteristic symptomatology of this condition. Given the heterogeneous etiology of ADHD, discussion is presented about the convenience of personalizing ADHD treatment, whether pharmacological or non-pharmacological, to reach an optimum effect in the majority of patients. Approaches to personalizing both pharmacological therapy and neurofeedback are presented.

摘要

注意缺陷多动障碍(ADHD)是一种神经发育障碍,患者表现出注意力不集中、多动和冲动。这种疾病的病因多种多样,包括环境因素以及一些基因变体的存在。然而,在这些与ADHD相关的因素的存在方面,患者之间存在很大差异。此外,关于ADHD报道的神经生理学相关性也存在差异。ADHD通常采用药物治疗,症状会有所改善,尽管有患者对主要药物治疗无效或出现药物副作用,这凸显了开发其他治疗选择的重要性。本综述探讨了不同的非药物治疗方法,发现其疗效各异。总之,ADHD与不同病因相关,所有这些病因都会导致大脑发育的变化,进而产生该疾病的典型症状。鉴于ADHD病因的异质性,本文讨论了个性化ADHD治疗(无论是药物治疗还是非药物治疗)以在大多数患者中达到最佳效果的便利性。文中还介绍了个性化药物治疗和神经反馈的方法。

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