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[注意缺陷/多动障碍(AD/HD)——术语的发展]

[Attention deficit/hyperactivity (AD/HD)--development of terminology].

作者信息

Lindback T

机构信息

Barneavdelingen Familie/barn klinikken Ullevål sykehus, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1998 Apr 20;118(10):1572-4.

PMID:9615586
Abstract

The aim of the present study is to discuss the terminology pertaining to children and adolescents who have been described as disruptive, hyperactive, inattentive, and impulsive. Review of the literature covering this century reveals that the condition has been given numerous names, which have later been rejected. Initially the focus was on brain damage as the cause, but the foundation for this explanation gradually failed: the concept was discarded in the 1960s and was replaced by the interchangable terms hyperactivity disorder and minimal brain dysfunction. The latter was only a few years later replaced by attention deficit disorder in the US and hyperkinetic disorder everywhere else. Differences and similarities between diagnostic systems and their significance for diagnostic practice are discussed. Diagnosis should be based on interdisciplinary work and the use of standardized rating scales.

摘要

本研究的目的是探讨与那些被描述为具有破坏性行为、多动、注意力不集中和冲动的儿童及青少年相关的术语。回顾本世纪的相关文献发现,这种状况曾被赋予众多名称,但后来这些名称都被摒弃了。最初,人们将重点放在脑损伤作为病因上,但这种解释的依据逐渐站不住脚:该概念在20世纪60年代被摒弃,取而代之的是可互换使用的术语“多动障碍”和“轻微脑功能障碍”。几年后,在美国后者又被“注意力缺陷障碍”所取代,而在其他地方则被称为“多动障碍”。文中讨论了诊断系统之间的异同及其对诊断实践的意义。诊断应基于跨学科工作以及使用标准化评定量表。

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