关于美国人注意力缺陷/多动症过度诊断的来源的评论 大人的成年人
1Intermountain Health, Logan, UT 84341, USA.
Healthcare (Basel, Switzerland)
|September 27, 2025
概括
成年注意力缺陷/多动症 (ADHD) 诊断和兴奋剂处方正在增加,这表明潜在的过度诊断. 本文探讨了导致成人多动症过度诊断的因素,并建议严格的诊断实践,以获得更好的患者结果.
科学领域:
- 精神病学是一个精神病学.
- 神经发育障碍 神经发育障碍
- 公共卫生 公共卫生
背景情况:
- 近年来,在美国,成人注意力缺陷/多动症 (ADHD) 诊断的病例显著增加.
- 这一增长与兴奋剂药物处方增加相关,导致药物短缺.
- 人们对成人多动症的潜在过度诊断存在担忧.
研究的目的:
- 检查导致成人多动症过度诊断的因素.
- 突出需要在成年ADHD评估中改进诊断实践.
- 强调准确诊断对于有效治疗患者的重要性.
主要方法:
- 对导致成人多动症过度诊断的因素的审查.
- 分析诊断标准的遵守和常见的诊断陷.
- 讨论差异诊断和并发病的作用.
主要成果:
- 过度诊断可能源于对DSM-5-TR标准的不遵守,诊断实践不佳和假装.
- 电子干扰,ADHD术语的文化转变和其他健康状况可以模仿或导致ADHD症状.
- 功能障碍和发育史的不充分评估是值得注意的问题.
结论:
- 更严格的诊断实践对于准确的成人ADHD诊断和治疗至关重要.
- 实施全面评估,包括排除其他条件和收集附带信息至关重要.
- 优化患者的治疗结果需要准确的诊断和适当的治疗干预措施.
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