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儿童期、青春期、生育期和更年期女性的注意力缺陷多动障碍症状

ADHD Symptoms in Females of Childhood, Adolescent, Reproductive and Menopause Period.

作者信息

Antoniou Evangelia, Rigas Nikolaos, Orovou Eirini, Papatrechas Alexandros, Sarella Angeliki

机构信息

Department of Midwifery, University of West Attica, Athens, Greece.

Non-Profits/Non-Governmental Organizations (NGO) "Fainareti.

出版信息

Mater Sociomed. 2021 Jun;33(2):114-118. doi: 10.5455/msm.2021.33.114-118.

Abstract

BACKGROUND

The attention-deficit/hyperactivity disorder (ADHD) was initially considered a male disorder. As it has recently been shown, however, its presentation in girls is a topic of increasing scientific interest and research. There have been quite a few studies so far showing the differences in the symptoms between genders and the progression of the condition depending on the individual's profile. However, there are some special characteristics in the female gender, including neuropathology and hormonal factors, that play a decisive role in understating ADHD in women. Although it is known that the symptoms in ADHD girls are overshadowed by those of the impulsive and hyperactive boys, an effort was made in this study to highlight ADHD symptoms in women from childhood to menopause.

OBJECTIVE

Taking into account the small but significant differences in the development of ADHD in women, this literature review aims at identifying the special characteristics of ADHD symptoms in all stages of a woman's life from childhood to menopause. Being aware of these signs is important to provide the best quality of health care in ADHD women.

METHODS

A review of the literature was conducted through the databases on the occurrence of ADHD symptoms in girls, adolescents, women of childbearing age and women in menopause.

RESULTS

ADHD and its comorbid disorders affect the female sex throughout its life. The hormonal fluctuations and transitional periods of life seem to influence the symptoms of ADHD more.

CONCLUSION

Higher awareness is thus required by health professionals about ADHD behavioural characteristics in girls, adolescent girls and women in their productive period or in menopause to identify the special signs defining the disease, to treat them early and protect the women's mental health.

摘要

背景

注意力缺陷多动障碍(ADHD)最初被认为是一种男性疾病。然而,最近的研究表明,其在女孩中的表现正成为一个越来越受科学关注和研究的话题。到目前为止,已经有不少研究表明了不同性别在症状上的差异以及病情根据个体情况的发展。然而,女性具有一些特殊特征,包括神经病理学和激素因素,这些在理解女性的ADHD方面起着决定性作用。尽管已知ADHD女孩的症状被冲动多动的男孩的症状所掩盖,但本研究仍致力于突出从童年到更年期女性的ADHD症状。

目的

考虑到女性ADHD发展中虽小但显著的差异,本综述旨在确定从童年到更年期女性生活各阶段ADHD症状的特殊特征。了解这些症状对于为ADHD女性提供最佳医疗保健质量很重要。

方法

通过数据库对女孩、青少年、育龄妇女和更年期妇女中ADHD症状的发生情况进行文献综述。

结果

ADHD及其共病在女性一生中都会对其产生影响。激素波动和生活中的过渡阶段似乎对ADHD症状的影响更大。

结论

因此,健康专业人员需要提高对女孩、青春期女孩以及育龄期或更年期女性ADHD行为特征的认识,以识别定义该疾病的特殊症状,尽早对其进行治疗并保护女性的心理健康。

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本文引用的文献

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Childhood ADHD and Involvement in Early Pregnancy: Mechanisms of Risk.儿童注意缺陷多动障碍与早孕的关系:风险机制。
J Atten Disord. 2020 Dec;24(14):1955-1965. doi: 10.1177/1087054717730610. Epub 2017 Sep 22.
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Menopausal Symptoms and Their Management.更年期症状及其管理。
Endocrinol Metab Clin North Am. 2015 Sep;44(3):497-515. doi: 10.1016/j.ecl.2015.05.001.
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ADHD and pregnancy.注意缺陷多动障碍与妊娠。
Am J Psychiatry. 2014 Jul;171(7):723-8. doi: 10.1176/appi.ajp.2013.13050680.

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