儿童开始的ADHD症状的稳定性和持续性
Anna R Van Meter1, Margaret H Sibley2, Pankhuree Vandana3
1New York University Grossman School of Medicine, New York, NY, 10016, USA. anna.vanmeter@nyulangone.org.
European child & adolescent psychiatry
|June 4, 2023
概括
儿童开始的注意力缺陷多动性障碍 (ADHD) 通常持续到青春期,大约一半的人保持一致的症状. 持续监测对于管理ADHD至关重要.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 神经发育障碍 神经发育障碍
- 纵向研究 纵向研究
背景情况:
- 儿童发病的注意力缺陷多动症 (ADHD) 呈现出异质的临床过程.
- 了解症状的持续和缓解对于有效的干预至关重要.
研究的目的:
- 描述儿童时期出现的ADHD的青少年ADHD症状的纵向过程和临床特征.
- 为了识别症状稳定,波动和缓解的模式,随着时间的推移.
主要方法:
- 长度评估躁狂症状 (LAMS) 研究参与者患有童年发病的多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多动性多多动性多动性多动性多多动性多多动性多动性多
- 对ADHD和症状状态 (ADHD,下值或没有) 的诊断标准使用Kiddie表对情绪障碍和精神分裂症进行了评估.
- 根据年度评估和最后的随访,症状过程被分类为一致,波动或缓解.
主要成果:
- 在431名患有童年发作的ADHD的参与者中,有一半的人经历了持续的症状.
- 近40%的人经历了缓解过程,而其余的人表现出波动性症状.
- 在研究结束时,超过一半的人符合ADHD标准;30%的人实现了稳定的缓解,15%的人出现了不稳定的症状.
结论:
- 童年开始的ADHD经常持续到青春期,症状轨迹各异.
- 持续的ADHD症状与更大的症状严重程度和损伤有关.
- 对影响因素的持续监测和评估对于优化ADHD的结果至关重要.
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