Attention-deficit/hyperactivity disorder and comorbidity

Attention-deficit/hyperactivity disorder and comorbidity
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DOI:
10.1016/s0031-3955(05)70163-2
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发表时间:
1999-10-01
影响因子:
2.6
通讯作者:
Wilens, T
Wilens, T
中科院分区:
医学3区
文献类型:
--
作者:
Spencer, T;Biederman, J;Wilens, T

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对ADHD儿童的研究一直证明,包括品行障碍、抑郁和其他情绪障碍、焦虑障碍和抽动障碍在内的高比例并存精神疾病。在诊断儿童ADHD时,必须注意不要将其他症状作为次要症状。不良的社交技能、与父母的问题、学习功能低下以及其他与ADHD相关的因素可以被解释为原因因素。尽管这些不应被忽视,但儿童患有另一种精神障碍的可能性也不应被忽视,该障碍可能会对适当的药物治疗产生反应。作为这一过程的第一步,从业者可以使用各种行为评分表。
Studies of children with ADHD consistently document high rates of comorbid psychiatric conditions, including conduct disorders, depression and other mood disorders, anxiety disorders, and tic disorders. Ln diagnosing children with ADHD, one must be careful not to dismiss other symptomatology as secondary. Poor social skills, problems with parents, low academic functioning, and other correlates of ADHD can be construed as causal factors. Although these should not be ignored, neither should the possibility that a child suffers from another psychiatric disorder that might respond to appropriate pharmacotherapy. A variety of behavior rating scales are available to the practitioner as the first steps in this process.