患有多动症儿童和青少年的药物不服药
Konstantin Mechler1, Tobias Banaschewski1, Tobias Hellenschmidt2
1Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
概括
儿童和青少年患有注意力缺陷/多动症障碍 (ADHD) 时,不坚持药物治疗是很常见的. 较高的年龄和较低的智力是关键预测因素,突出显示了对一致的遵守监测和障碍管理的需求.
科学领域:
- 儿童精神病学 儿童精神病学
- 神经发育障碍 神经发育障碍
- 药理学坚持研究 药理学坚持研究
背景情况:
- 注意缺陷/多动障碍 (ADHD) 影响全球6-10%的儿科患者.
- 虽然ADHD药物是有效的,但低于最佳的坚持往往会限制治疗的有效性.
- 了解不服从对于优化青少年治疗结果至关重要.
研究的目的:
- 调查儿童和青少年被诊断患有多动症的药物不服药的流行情况.
- 在这个人口群体中确定与药物不服药相关的特定预测因素.
主要方法:
- 德国的TDM-VIGIL研究,一个前性的多中心观测设计.
- 参与者 (N=198,年龄在6-18岁) 患有多动症被评估为使用药物评估问卷 (MAQ) 的不遵守.
- 后勤回归分析确定了不遵守的预测因素.
主要成果:
- 在评估点上,完全服药的坚持率从66.1%到75.4%不等.
- 较高的时间年龄和较低的智商 (IQ) 与增加的不坚持有显著的相关性.
- 性别,疾病严重程度,不良事件,治疗环境和药物类型等因素并不能预测不坚持.
结论:
- 药物不服药在儿童多动症的管理中构成了重大挑战.
- 青春期和较低的认知能力被确定为不坚持的关键风险因素.
- 临床医生必须主动监测患者的坚持并解决个体患者的障碍,以提高治疗的有效性.
关键词:
对于ADHS来说,这是一个很大的问题.更多关于 ADHD ADHD 的文章他们是支持者.这是一个"接受"的表现.治疗 治疗 治疗她的年龄在不断增长.孩子的孩子的孩子的孩子的孩子.药物治疗 药物治疗坚持性 坚持性青少年 青少年 青少年孩子们的孩子们的孩子们的孩子们.符合合规性的合规性是什么药物治疗 药物治疗治疗治疗治疗治疗治疗治疗更多相关视频
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