Thorley G
Br J Psychiatry. 1984 Jan;144:16-24. doi: 10.1192/bjp.144.1.16.
The diagnosis of hyperkinetic syndrome is rarely used in the UK, in marked contrast to its counterpart in the USA. Most of the work on hyperkinesis is concerned with the North American concept and relatively little attention has been paid to the British approach. The present paper reviews the development of the UK concept and diagnosis, describes the characteristics of 73 hyperkinetic syndrome children seen at the Bethlem and Maudsley Hospitals over 13 years and compares them to matched psychiatric controls diagnosed as conduct disordered. Results indicate that the two groups are differentiated by a number of symptomatic and clinical features, with the conduct disorder group showing a greater frequency of aggressive, antisocial, emotional and psychosocial disturbance which contrasts with higher frequencies of motor disturbance, inattentive and articulatory disturbance in the hyperkinetic group. No differences were found between the groups in brain pathology or sensory handicap. The findings provide support, at least in terms of symptoms and clinical features, for the concept and diagnosis of hyperkinetic syndrome (ICD 9).
在英国，多动综合征的诊断很少使用，这与美国的情况形成了鲜明对比。关于多动症的大多数研究都与北美概念相关，而对英国的方法关注相对较少。本文回顾了英国概念和诊断的发展，描述了13年间在贝斯莱姆医院和莫兹利医院就诊的73名多动综合征儿童的特征，并将他们与被诊断为品行障碍的匹配精神科对照进行比较。结果表明，两组在一些症状和临床特征上存在差异，品行障碍组表现出更高频率的攻击、反社会、情绪和社会心理障碍，而多动组则有更高频率的运动障碍、注意力不集中和言语障碍。两组在脑病理学或感觉障碍方面没有差异。这些发现至少在症状和临床特征方面为多动综合征（ICD 9）的概念和诊断提供了支持。
