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成人注意力缺陷多动障碍:从临床现实到概念明晰

Adult attention-deficit Hyperactivity disorder: From clinical reality toward conceptual clarity.

作者信息

Prakash Jyoti, Chatterjee K, Guha S, Srivastava K, Chauhan V S

机构信息

Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India.

Private Consultant Psychiatrist, Sr Lecturer UQ School of Medicine and Griffith University School of Medicine, Australia.

出版信息

Ind Psychiatry J. 2021 Jan-Jun;30(1):23-28. doi: 10.4103/ipj.ipj_7_21. Epub 2021 Jun 10.

DOI:10.4103/ipj.ipj_7_21
PMID:34483520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8395556/
Abstract

There is ambiguity about the clinical picture and concept of attention-deficit hyperactivity disorder (ADHD) in adults. Relevant literature was extracted from various search engines, analyzed, and interpreted. Available literature suggests a significant prevalence of ADHD in the adult population affecting the quality of socio-occupational functioning. Inattentiveness was more commonly present than hyperactivity-impulsivity. Frequent comorbidities with other psychiatric disorders like anxiety disorders and substance use disorders were noted. Pharmacological management and psychotherapy have been found effective in its management. ADHD is a disorder across the lifespan and fairly prevalent among adults. Greater awareness and more research are required for a better understanding of Adult ADHD and its effective management.

摘要

成人注意力缺陷多动障碍(ADHD)的临床表现和概念存在模糊性。从各种搜索引擎中提取、分析和解读了相关文献。现有文献表明,ADHD在成年人群中具有显著的患病率,影响社会职业功能质量。注意力不集中比多动冲动更为常见。注意到与焦虑症和物质使用障碍等其他精神疾病频繁共病。药物治疗和心理治疗已被证明对其治疗有效。ADHD是一种贯穿一生的疾病,在成年人中相当普遍。需要提高认识并开展更多研究,以更好地了解成人ADHD及其有效管理。

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本文引用的文献

1
Updates in technology-based interventions for attention deficit hyperactivity disorder.注意力缺陷多动障碍基于技术的干预措施的进展
Curr Opin Psychiatry. 2020 Nov;33(6):577-585. doi: 10.1097/YCO.0000000000000643.
2
Trends in the Prevalence and Incidence of Attention-Deficit/Hyperactivity Disorder Among Adults and Children of Different Racial and Ethnic Groups.不同种族和族裔群体的成年人和儿童注意缺陷多动障碍患病率和发病率的趋势。
JAMA Netw Open. 2019 Nov 1;2(11):e1914344. doi: 10.1001/jamanetworkopen.2019.14344.
3
Situating adult attention-deficit/hyperactivity disorder in the externalizing spectrum: Etiological, diagnostic, and treatment considerations.将成人注意力缺陷多动障碍置于外化性谱系障碍中:病因、诊断及治疗考量
Indian J Psychiatry. 2019 Jan-Feb;61(1):3-12. doi: 10.4103/psychiatry.IndianJPsychiatry_549_18.
4
Updated European Consensus Statement on diagnosis and treatment of adult ADHD.成人注意缺陷多动障碍诊断与治疗的最新欧洲共识声明
Eur Psychiatry. 2019 Feb;56:14-34. doi: 10.1016/j.eurpsy.2018.11.001. Epub 2018 Nov 16.
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Common psychiatric and metabolic comorbidity of adult attention-deficit/hyperactivity disorder: A population-based cross-sectional study.成人注意缺陷多动障碍的常见精神和代谢共病:一项基于人群的横断面研究。
PLoS One. 2018 Sep 26;13(9):e0204516. doi: 10.1371/journal.pone.0204516. eCollection 2018.
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Adult ADHD and comorbid disorders: clinical implications of a dimensional approach.成人注意力缺陷多动障碍及其共病:维度方法的临床意义
BMC Psychiatry. 2017 Aug 22;17(1):302. doi: 10.1186/s12888-017-1463-3.
7
The World Health Organization Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5.世界卫生组织成人注意缺陷多动障碍自我报告筛查量表(适用于《精神疾病诊断与统计手册》第5版)
JAMA Psychiatry. 2017 May 1;74(5):520-527. doi: 10.1001/jamapsychiatry.2017.0298.
8
Comorbidity of Adult Attention Deficit and Hyperactivity Disorder in Bipolar and Unipolar Patients.双相情感障碍和单相情感障碍患者中成人注意缺陷多动障碍的共病情况。
Noro Psikiyatr Ars. 2016 Sep;53(3):257-262. doi: 10.5152/npa.2015.11328. Epub 2016 Sep 1.
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The efficacy of atomoxetine in treating adult attention deficit hyperactivity disorder (ADHD): A meta-analysis of controlled trials.盐酸托莫西汀治疗成人注意缺陷多动障碍(ADHD)的疗效:对照试验的荟萃分析。
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