最近审阅: 1 十一月 2020
最近更新: 30 十月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 12岁之前起病
  • 既往或目前存在学业功能损害
  • 当前或既往职业功能障碍
  • 家庭及人际关系障碍
  • 药物和酒精滥用
  • 寻求刺激的行为
  • 驾驶事故
  • 在工作、学校等场合不能注重细节、粗心大意
  • 难以将注意力集中于任务
  • 对话时心不在焉
  • 无法遵照指令或难以完成职责和分配的任务(非误解或对抗行为所引起)
  • 组织计划困难
  • 回避和/或厌恶需要持续脑力劳动的任务
  • 经常弄丢任务或活动的必要物品
  • 日常任务中健忘
  • 经常手脚动个不停或在座位上不停扭动
  • 经常在需要保持坐立的情境中离开座位
  • 经常感觉焦躁不安
  • 在休闲活动中不能保持安静
  • 总是不停地“忙忙碌碌”
  • 常常说太多的话
  • 经常在问题还没有说完的情况下抢答
  • 经常无法按顺序排队等候
  • 经常插话或打扰他人(例如在交谈中插话)
  • 犯罪行为增加
  • 易受周围或外界刺激分心

危险因素

  • ADHD 家族史
  • 男性
  • 社会心理逆境
  • 其他环境因素

诊断性检查

首要检查

  • Conners成人ADHD评定量表 (Conners Adult ADHD Rating Scale)
  • Brown 注意缺陷障碍量表 (Brown Attention Deficit Disorder Scale)
  • 世界卫生组织成人注意缺陷多动障碍自评量表 (World Health Organization Adult ADHD Self-Report Scale)
  • 文德犹他自评量表 (Wender Utah Rating Scale)
  • 神经心理测验
更多 首要检查

需考虑的检查

  • 尿液药物筛查
  • 脑电图检查
  • 脑影像学检查(CT 或 MRI)
  • 多导睡眠描记术
  • 基于计算机的项目
更多 需考虑的检查

治疗流程

撰稿人

Consultant Psychiatrist

South West Yorkshire NHS Partnership Foundation Trust

University of Huddersfield

Huddersfield

UK

利益声明

MA is a board member of the East Riding Clinical Commissioning Group.

Professor Marios Adamou would like to gratefully acknowledge Dr Bridget Craddock, Dr S. Nassir Ghaemi, and Dr Elizabeth A. Whitham, the previous contributors to this topic.

利益声明

BC declares that she has no competing interests. SNG has received research grants from Pfizer, served on the speakers' bureaus of Astra Zeneca and Pfizer, and received honoraria from Bristol Myers Squibb. Neither SNG nor his family hold equity positions in pharmaceutical corporations. EAW declares that she has no competing interests.

同行评议者展开全部内容

Lucio Bini Mood Disorders Center

New York

NY

利益声明

GF has been reimbursed by Astra Zeneca, the manufacturer of Seroquel, for attending several conferences.

Assistant Professor

Department of Psychiatry and Behavioral Sciences

Johns Hopkins School of Medicine

Baltimore

MD

利益声明

DWG has received research grants from Shire Pharmaceuticals. DWG has received speaking fees from Neuroscience Education Institute, Temple University, American Professional Society of ADHD and Related Disorders, Medscape, and WebMD. DWG has been a paid consultant to American Physician Institute for Advanced Professional Studies, Prescriber's Letter, Consumer Reports, Thomson Reuters, GuidePoint Global, Shire Pharmaceuticals, McNeil Pediatrics, Cephalon, Teva Pharmaceuticals, Lundbeck, Otsuka Pharmaceuticals, and Novartis.

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