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題名 | 注意力不足過動障礙症兒童的追蹤研究文獻回顧=Long-Term Outcome Studies of Hyperactive Children: Literature Review |
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作者 | 蔡景宏; 高淑芬; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 15:6 1999.06[民88.06] |
頁次 | 頁307-314 |
分類號 | 415.9517 |
關鍵詞 | 注意力不足過動障礙症; 兒童; 過動症; Hyperactive children; Long-term; Follow-up; |
語文 | 中文(Chinese) |
中文摘要 | 注意力不足過動障礙症(以下簡稱為過動症)是兒童精神科門診常見的診斷之一,雖然診斷上仍有些爭議,兒童精神科醫師可經由會談觀察個案及收集家長和老師等提供的資料做出診斷。除了診斷治療是研究過動症的重要議題外,過動兒的長期追蹤研究已漸漸突顯其重要性。國外近二、三十年來針對過動兒所做的長期追蹤研究皆顯示過動兒之症狀並不隨著年齡的增長而消失,其殘餘的症狀可造成青少年及成人期整體適應功能障礙。單純過動症的核心症狀(注意力不足、活動量過高、衝動行為)只要能及早確定診斷,透過藥物及行為治療,加上醫療、家庭、學校和社會配合,大多有令人滿意的療效。若沒有早期診斷或介入治療,而讓症狀持續,則長大之後顯示有較高的機會合併有行為規範障礙症,反社會性行為、物質濫用、反社會性人格障礙症,甚至犯罪行為,這些行為問題將成為嚴重的社會議題。 |
英文摘要 | The attention deficit hyperactive disorder (hereinafter ADHD, children with this disease usually are named hyperactive children)is often one of the most frequent diagnosis of psychiatric outpatients for children. Though there are still some disputes in diagnosis, child psychiatrists can diagnose individual cases through interview, observation and the information provided by their parents and teachers. Besides the diagnosis and treatment, the result of long-term follow-up studies of hyperactive children also gradually indicate the most extreme signification. According to the long-term outcome studies of hyperactive children conducted in foreign countries for the past 20 to 30 years, symptoms of hyperactive children will not disappear completely as they grew up; instead, the residual symptoms can cause adaptive impairment in their adolescent and adult period. The core symptoms of ADHD (inattention, hyperactivity, impulsive behavior) can be satisfactorily managed if they can be diagnosed as earlier as possible, through medicine and behavioral therapy, plus medical staff and cooperation from family, school and society. If there is no early diagnosis or intervention, and let symptoms continue, after growing up, associated conduct problem or disorder, antisocial behavior, substance abuse and antisocial personality disorder, even criminal behavior will have higher opportunity to develop into adolesence and adulthood. These behavioral problems will cause very serious social problems. We have became more clearly aware of the accurate recognition of hyperactive children and have emphasized its importance in recent years. Unfortunately, there are still no long-term follow-up study reports regarding these children in our country; therefore we could not discover the effective predictors and higher risk groups for early intervention and prevention. This paper aims at reviewing long-term outcome studies of hyperactive children and trying to organize its adaptive problems and associated mental disorders after growing up. We also expect that the long-term follow-up studies on hyperactive children can be seen in the very near future at our country. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。