成年人的注意力缺陷/多动障碍
Amanda E Olagunju1, Faraz Ghoddusi2
1JenCare Senior Medical Center, Newport News, Va.; 113th Air National Guard, Andrews Air Force Base, Md.
American family physician
|August 22, 2024
概括
成年ADHD是一种持续的神经发育障碍,通常需要全面的评估和治疗. 第一线治疗包括兴奋剂,对于特定患者群体可提供非兴奋剂选择.
科学领域:
- 神经发育障碍 神经发育障碍
- 成人精神病学是一门专业.
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是一种神经发育障碍,其特点是注意力不集中和/或过度活跃-冲动行为.
- 儿童多动症经常持续到成年期,影响美国14.6%的成年人.
- 成年ADHD诊断需要仔细考虑由于症状重叠而同时出现的心理健康状况.
研究的目的:
- 概述成人ADHD的诊断考虑因素.
- 审查推的药物疗法和治疗策略.
- 强调监测兴奋剂的滥用.
主要方法:
- 综合的临床病史和评估.
- 患者的症状和功能评估 (例如,成人多动症自我报告量表).
- 收集担保信息. 收集担保信息.
主要成果:
- 第一线药物治疗包括兴奋剂 (安非他胺和甲基胺).
- 心理治疗可能会增强兴奋剂的有效性.
- 在特定情况下,存在非兴奋剂选择 (atomoxetine, viloxazine, bupropion).
- 建议对兴奋剂使用进行受控物质协议和监测计划.
结论:
- 准确的成人ADHD诊断需要进行彻底的评估和差异诊断.
- 药物治疗,包括兴奋剂和非兴奋剂,是管理的关键组成部分.
- 监测滥用和转移对于患者安全至关重要.
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