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注意力缺陷/多动障碍:一种神经发育学方法

Attention-deficit/hyperactivity disorder: a neurodevelopmental approach.

作者信息

Ludwikowski K, DeValk M

机构信息

Child Assessment Services, Marengo, IL, USA.

出版信息

J Child Adolesc Psychiatr Nurs. 1998 Jan-Mar;11(1):17-29. doi: 10.1111/j.1744-6171.1998.tb00426.x.

DOI:10.1111/j.1744-6171.1998.tb00426.x
PMID:9611541
Abstract

TOPIC

Attention-deficit/hyperactivity disorder is frequently overdiagnosed when a complete evaluation by a knowledgeable clinician is not undertaken. Because of the recent negative media campaign regarding psychostimulant medication, it becomes more imperative that a thorough and accurate evaluation be completed before starting children and adolescents on psychostimulant medications.

PURPOSE

To describe the neurodevelopmental perspective in the assessment and treatment of ADHD.

SOURCES

Published literature and clinical experience.

CONCLUSION

It is useful in practice to conceptualize the developmental path of children with ADHD not as disordered but as delayed, and to build on each child's strengths. The neurodevelopmental approach provides the child psychiatric nurse a child-focused framework for assessment and development of individualized interventions.

摘要

主题

如果没有由知识渊博的临床医生进行全面评估,注意力缺陷多动障碍常常会被过度诊断。由于近期媒体针对精神刺激药物展开了负面宣传活动,因此在让儿童和青少年开始服用精神刺激药物之前,进行全面且准确的评估就变得更加迫切。

目的

描述在注意力缺陷多动障碍评估与治疗中的神经发育视角。

资料来源

已发表的文献及临床经验。

结论

在实践中,将注意力缺陷多动障碍儿童的发育路径视为延迟而非紊乱,并基于每个孩子的优势来开展工作是很有用的。神经发育方法为儿童精神科护士提供了一个以儿童为中心的评估框架以及制定个性化干预措施的依据。

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