Attention deficits and hyperactivity-impulsivity: what have we learned, what next?
Attention deficits and hyperactivity-impulsivity: what have we learned, what next?
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DOI：
10.1017/s0954579413000734
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发表时间：
2013-11
影响因子：
3.3
通讯作者：
Nigg JT
中科院分区：
文献类型：
--
作者：
Nigg JT
自我调节、自我控制、执行功能、注意力不集中和冲动性等领域跨越了正常和异常发展的广泛领域。注意力缺陷/多动障碍是一种常见的综合征，包括这些领域的一部分。在过去的25年中，对注意力缺陷/多动障碍的研究的特点是在遗传，神经和神经心理学的综合征的描述以及澄清其多维表型结构的显着进步。这些研究结果的有限临床适用性对下一代提出了主要挑战。这是可能的，临床突破将需要进一步完善，在描述异质性或临床/生物亚组，重新关注环境的病因学事件的形式，以及发展的社会心理背景，并整合两者与生物学的理解。
The domains of self-regulation, self-control, executive function, inattention, and impulsivity cut across broad swathes of normal and abnormal development. Attention-deficit/hyperactivity disorder is a common syndrome that encompasses a portion of these domains. In the past 25 years research on attention-deficit/hyperactivity disorder has been characterized by dramatic advances in genetic, neural, and neuropsychological description of the syndrome as well as clarification of its multidimensional phenotypic structure. The limited clinical applicability of these research findings poses the primary challenge for the next generation. It is likely that clinical breakthroughs will require further refinement in describing heterogeneity or clinical/biological subgroups, renewed focus on the environment in the form of etiological events as well as psychosocial contexts of development, and integration of both with biological understanding.