重新评估与年龄相关的注意力缺陷/多动症障碍 (ADHD) 症状轨迹,使用日本ADHD评分表-5
Ryotaro Shimomura1, Yukie Tateno1, Keisuke Oyatani2
1Tokiwa Child Development Center Tokiwa Hospital Sapporo Hokkaido Japan.
PCN reports : psychiatry and clinical neurosciences
|February 20, 2026
概括
ADHD评分尺度-5 (ADHD-RS-5) 显示,在患有ADHD的儿童中,注意力缺陷症状在不同年龄段是稳定的. 过度活动-冲动性随着年龄的增长而下降,药物治疗不会影响症状得分,但会增加功能障碍.
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
- 心理测量评估 心理测量评估
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是一种常见的神经发育障碍.
- 日本版本的ADHD评分表-5 (ADHD-RS-5) 最近发布,需要临床验证.
- 了解特定年龄的ADHD症状模式对于准确的诊断和管理至关重要.
研究的目的:
- 在使用ADHD-RS-5的儿科精神病室门诊患者中根据年龄组重新评估与ADHD相关的特征.
- 将研究结果与之前关于不同年龄段的ADHD症状表现的研究进行比较.
- 探索ADHD诊断,年龄和功能障碍之间的关系.
主要方法:
- 在452名5-17岁的儿科精神病室门诊患者中使用了ADHD-RS-5.
- 基于ADHD诊断和年龄组的症状和功能障碍得分的比较.
- 分析了药物治疗对ADHD组症状和损伤得分的影响.
主要成果:
- 在ADHD组中观察到显著更高的注意力缺失 (IA) 和过度活跃-冲动性 (HI) 分数.
- 随着年龄的增长,HI得分下降,而IA得分在各年龄组中表现出相对稳定.
- 药物治疗与更高的功能障碍得分有关,而不是症状严重程度.
结论:
- ADHD-RS-5证实了ADHD症状的特定年龄模式,IA在整个发育过程中比HI更稳定.
- 研究结果表明,在启动ADHD药物治疗时,应考虑症状严重程度和功能影响.
- 使用ADHD-RS-5等工具进行准确的评估,以及临床判断,对于有效的儿童ADHD管理至关重要.
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