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老年期注意力缺陷多动障碍（ADHD）的流行病学、诊断与治疗

[Epidemiology, diagnostics and treatment of attention deficit-hyperactivity disorder (ADHD) in advanced age].

作者信息

Praus Peter, Moldavski Alexander, Alm Barbara, Hennig Oliver, Rösler Michael, Retz Wolfgang

机构信息

Zentralinstitut für Seelische Gesundheit, Klinik für Psychiatrie und Psychotherapie, J5, 68159, Mannheim, Deutschland.

Pfalzklinikum für Neurologie und Psychiatrie, Klinik für Forensische Psychiatrie, Weinstraße 100, 76889, Klingenmünster, Deutschland.

出版信息

Nervenarzt. 2023 Nov;94(11):1043-1049. doi: 10.1007/s00115-023-01548-7. Epub 2023 Sep 25.

DOI:10.1007/s00115-023-01548-7
PMID:37747504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10620251/
Abstract

Current studies demonstrate a comparably high prevalence of attention deficit-hyperactivity disorder (ADHD) in advanced age. Older people affected by ADHD suffer from a severe burden of psychiatric and somatic comorbidities as well as substantial impairment of social functioning and subjective well-being. The diagnostic differentiation from neurodegenerative diseases is particularly difficult in this age group. This narrative review summarizes the current knowledge about the epidemiology of ADHD in advanced age and possible relationships between ADHD and the risk for neurodegeneration. Furthermore, recommendations for diagnostics and treatment options of ADHD in advanced age are presented.

摘要

目前的研究表明，注意力缺陷多动障碍（ADHD）在老年人群中的患病率相对较高。患有ADHD的老年人承受着精神和躯体共病的沉重负担，以及社会功能和主观幸福感的严重损害。在这个年龄组中，与神经退行性疾病进行诊断区分尤为困难。这篇叙述性综述总结了目前关于老年ADHD流行病学的知识，以及ADHD与神经退行性变风险之间可能的关系。此外，还提出了老年ADHD诊断和治疗选择的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a4/10620251/d3a347d6e3ab/115_2023_1548_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a4/10620251/d3a347d6e3ab/115_2023_1548_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a4/10620251/d3a347d6e3ab/115_2023_1548_Fig1_HTML.jpg

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Neuropsychology. 2023 Jul;37(5):519-530. doi: 10.1037/neu0000890. Epub 2023 Mar 9.
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The Effects of Different Exercise Approaches on Attention Deficit Hyperactivity Disorder in Adults: A Randomised Controlled Trial.不同运动方式对成人注意力缺陷多动障碍的影响：一项随机对照试验
Behav Sci (Basel). 2023 Feb 2;13(2):129. doi: 10.3390/bs13020129.
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Risk of dementia and mild cognitive impairment in older adults with a criminal background: a population-based register study in Sweden.
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