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转诊患者注意力缺陷多动障碍诊断的重新评估：日本一家高级精神病医院的病历审查

Reevaluation of ADHD diagnoses in referral patients: A medical chart review in an advanced psychiatric hospital in Japan.

作者信息

Suzuki Kosuke, Niitsu Tomihisa, Kato Maria, Iyo Masaomi

机构信息

Department of Psychiatry Chiba University Graduate School of Medicine Chiba Japan.

Department of Psychiatry International University of Health and Welfare Narita Japan.

出版信息

PCN Rep. 2024 Oct 14;3(4):e70024. doi: 10.1002/pcn5.70024. eCollection 2024 Dec.

DOI:10.1002/pcn5.70024
PMID:39403070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11472302/
Abstract

Our study examined the diagnostic accuracy of ADHD among referral patients, revealing that 66% had confirmed ADHD while 24% had their diagnosis changed, primarily to bipolar disorder. These findings emphasize the need for comprehensive evaluation and multidisciplinary collaboration to ensure accurate diagnosis and effective treatment.

摘要

我们的研究调查了转诊患者中注意力缺陷多动障碍（ADHD）的诊断准确性，结果显示66%的患者确诊为ADHD，24%的患者诊断被更改，主要是改为双相情感障碍。这些发现强调了进行全面评估和多学科协作以确保准确诊断和有效治疗的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/11472302/561cff7a4be2/PCN5-3-e70024-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/11472302/561cff7a4be2/PCN5-3-e70024-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/11472302/561cff7a4be2/PCN5-3-e70024-g002.jpg

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本文引用的文献

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Differentiation and comorbidity of bipolar disorder and attention deficit and hyperactivity disorder in children, adolescents, and adults: A clinical and nosological perspective.儿童、青少年及成人双相情感障碍与注意力缺陷多动障碍的鉴别及共病：临床与疾病分类学视角
Front Psychiatry. 2022 Aug 11;13:949375. doi: 10.3389/fpsyt.2022.949375. eCollection 2022.
2
Attention deficit hyperactivity disorder and comorbidity: A review of literature.注意缺陷多动障碍及其共病：文献综述
World J Clin Cases. 2019 Sep 6;7(17):2420-2426. doi: 10.12998/wjcc.v7.i17.2420.
3
Treatment of ADHD in patients with bipolar disorder.
双相情感障碍患者中注意缺陷多动障碍（ADHD）的治疗。
J Psychiatry Neurosci. 2017 Nov;42(6):E11-E12. doi: 10.1503/jpn.170097.
4
Adult ADHD vs. bipolar disorder in the DSM-5 era: a challenging differentiation for clinicians.《精神疾病诊断与统计手册》第5版时代的成人注意力缺陷多动障碍与双相情感障碍：临床医生面临的具有挑战性的鉴别诊断
J Psychiatr Pract. 2014 Nov;20(6):428-37. doi: 10.1097/01.pra.0000456591.20622.9e.
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Mania and attention-deficit/hyperactivity disorder: common symptomatology, common pathophysiology and common treatment?躁狂症和注意缺陷多动障碍：共同的症状学、共同的病理生理学和共同的治疗方法？
Curr Opin Psychiatry. 2010 Jan;23(1):1-7. doi: 10.1097/YCO.0b013e328331f694.
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Frequency of stimulant treatment and of stimulant-associated mania/hypomania in bipolar disorder patients.双相情感障碍患者中兴奋剂治疗的频率以及与兴奋剂相关的躁狂/轻躁狂的频率。
Psychopharmacol Bull. 2008;41(4):37-47.