超越童年:理解成年人的ADHD
1Brittney Hulsey is an associate professor and program director of the PA Studies program at A.T. Still University in Mesa, AZ, and practices family medicine at Village Medical in Phoenix, AZ. Clay Walker is an assistant professor of PA studies and director of didactic education in the PA program at A.T. Still University in Mesa, AZ, and is an assistant professor of family medicine at Mayo Clinic in Phoenix, AZ. C. Walker discloses service as an external clinical expert on the GlaxoSmithKline UTI Consultancy Panel; service as a medical consultant and advisor for Cosmas Health's Pyrls; and service as a mentor for PAs and NPs in clinical practice through Medgeeks. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
成年人的注意力缺陷/多动症 (ADHD) 经常源于童年症状,而不是真正的成人发作. 初级保健对于诊断和管理这种神经发育障碍至关重要.
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,经常持续到成年.
- 成年ADHD诊断通常发生在初级保健中,有时与未被识别的儿童症状有关.
研究的目的:
- 概述成人ADHD的流行病学,病理生理学,临床特征,诊断策略和基于证据的治疗方法.
- 强调初级保健在识别和管理成人ADHD中的作用.
主要方法:
- 对成人多动症相关文献的系统综述.
- 对成年ADHD的诊断标准和差异诊断的分析.
- 对成年ADHD的基于证据的治疗方法的审查.
主要成果:
- "成人发病的多动性多动症"通常是由以前低于值的童年症状或其他疾病解释的.
- 必须排除模仿情绪障碍,焦虑,吸毒和睡眠障碍等疾病.
- 多模式治疗计划对于改善患者的治疗结果至关重要.
结论:
- 初级保健医生对于早期识别和管理成人多动症至关重要.
- 准确的诊断需要在确认成人ADHD之前排除模仿者.
- 有效的管理需要采用针对成年患者的综合性,基于证据的方法.
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