ADHD (过度) 诊断:小说,时尚和失败
Samuele Cortese1,2,3,4,5, David Daley6, Chris Hollis7,8
1Developmental EPI (Evidence Synthesis, Prediction Implementation) Lab, Centre for Innovation in Mental Health, School of Psychology, https://ror.org/01ryk1543University of Southampton, UK.
注意缺陷多动症 (ADHD) 影响英国5%的儿童和青少年. 有证据表明,ADHD的诊断不足,而不是过度诊断,在为受影响个体获得足够的临床支持方面存在重大挑战.
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
- 公共卫生政策 公共卫生政策
背景情况:
- 注意缺陷多动症 (ADHD) 是儿童和青少年中普遍存在的一种神经发育障碍.
- 关于ADHD过度诊断和过度医疗化的担忧仍然存在于公共话语中.
- 现有的英国临床服务在充分支持ADHD患者群体方面面临挑战.
研究的目的:
- 评估英国儿童和青少年当前的ADHD患病率和诊断趋势.
- 评估英国ADHD过度诊断与不足诊断的证据.
- 突出改善ADHD患者临床服务的迫切需要.
主要方法:
- 对有关ADHD患病率的现有流行病学数据进行系统审查.
- 诊断率的分析和遵守国家指南.
- 临床服务能力和可访问性的定性评估.
主要成果:
- 在儿童/青少年中,ADHD的估计患病率为5%.
- 没有证据支持英国ADHD过度诊断的说法;数据表明诊断不足.
- 错误诊断可能是由于评估质量,准则遵守和差异诊断问题.
- 英国的临床服务不足以满足多动症患者的需求.
结论:
- 英国对ADHD过度诊断的叙述没有得到当前证据的支持.
- 低诊断和不充分的临床支持是ADHD患者的重要问题.
- 有一种风险,即"过度诊断"的叙述可能会阻碍ADHD患者获得必要的护理.
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