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患有注意力缺陷多动障碍和学习障碍的儿童。

The child with attention deficit hyperactivity disorder and learning disability.

作者信息

Cavanaugh S, Tervo R C, Fogas B

机构信息

USD School of Medicine, Sioux Falls, USA.

出版信息

S D J Med. 1997 Jun;50(6):193-7.

PMID:9212697
Abstract

The following case is presented to demonstrate the difficulties associated with treatment of Attention Deficit Hyperactivity Disorder (ADHD) when it is comorbid with a learning disability (LD). These two disorders exist simultaneously in about 30% of those diagnosed with ADHD. It is often difficult to separate the effects of one condition from those of the other. Researchers and clinicians often struggle with questions concerning the origin of inattentive symptoms. A child with LD may have trouble attending if placed in a classroom setting not designed to deal with issues related to LD, while a child with attention deficit may not be progressing as well as expected because of problems maintaining attention. This case highlights the need for a multi-faceted approach to the treatment of ADHD, as well as, the need for continued evaluation of the effectiveness of the treatment plan instituted.

摘要

以下案例旨在说明注意力缺陷多动障碍(ADHD)与学习障碍(LD)共病时治疗所面临的困难。在被诊断为ADHD的患者中,约30%同时存在这两种障碍。通常很难区分一种病症与另一种病症的影响。研究人员和临床医生经常纠结于与注意力不集中症状起源相关的问题。如果将患有LD的儿童置于未设计用于处理与LD相关问题的课堂环境中,他们可能难以集中注意力,而患有注意力缺陷的儿童可能由于难以保持注意力而无法像预期那样取得进步。该案例凸显了对ADHD治疗需要采取多方面方法,以及持续评估所制定治疗计划有效性的必要性。

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