在有注意力缺陷/多动障碍的种族和种族多样化的青少年中,社区治疗利用的纵向模式
Devin M Hill1, Margaret H Sibley1,2, Mark A Stein1,2
1Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle, Washington, USA.
Journal of child and adolescent psychopharmacology
|February 2, 2024
概括
青少年注意力缺陷/多动障碍 (ADHD) 的治疗方法各不相同,心理社会选择优先于药物治疗. 许多年轻人因耐受性或疲劳而停止服用多动症治疗药物,这凸显了需要量身定制的参与策略.
科学领域:
- 儿童和青少年精神病学
- 神经发育障碍 神经发育障碍
- 行为健康 行为健康
背景情况:
- 在青少年中,注意力缺陷/多动症 (ADHD) 治疗利用率不一致.
- 了解不同青年群体的治疗模式至关重要.
研究的目的:
- 在拉丁裔和/或黑人青少年ADHD的纵向社区样本中检查药物和非药物治疗的利用率.
- 确定影响治疗持续时间的因素和停止治疗的原因.
主要方法:
- 对218名患有多动性多动症的青少年从青春早期到17岁的长度研究.
- 电子调查评估了药物和心理治疗的使用,持续性,转移,滥用和停止原因.
- 还测量了补充和替代治疗方法.
主要成果:
- 大多数青少年寻求基于社区的多动症治疗,心理社会干预比药物治疗更多.
- 大约一半的人停止服用ADHD药物,理由是耐受性问题或疲劳.
- 药物滥用率较低;种族/种族不预测利用率,但较低的逆境和并发症预测了药物持续性.
结论:
- 拉丁裔和黑人青少年的ADHD治疗参与应与青年目标保持一致,解决药物耐受性问题,并确保安全监测.
- 非药物治疗可能更容易接受;提供多样化的选择是参与的关键.
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