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  • 文章类型: Journal Article
    注意力缺陷/多动障碍(ADHD)是最常见和可遗传的神经发育障碍之一,可能持续一生。先前编写了一份关于土耳其青年多动症诊断和管理的共识报告。然而,与会者和管理选择相当有限,过去十年的发展需要修订和更新共识。因此,本综述旨在总结Türkiye儿童和青少年精神科医生对儿童ADHD的性质和管理的共识。为了这些目标,多动症的病因,诊断和评估过程,流行病学,发展演讲,鉴别诊断和合并症,我们回顾了课程/结局和药理学以及非药理学管理方案,并提出了临床实践建议.由于ADHD是一种对功能有广泛影响的慢性疾病,经常伴有其他精神障碍,建议采用多维治疗方法.然而,因为这种疾病有神经生物学基础,药物治疗是治疗的主要手段。其他疗法可能包括心理社会疗法,行为疗法,以学校为基础的治疗方法,和家庭教育。本综述在国家和全球层面为多动症提供了建议。它包含有关ADHD的信息,这些信息将有助于并促进临床医生的决策过程。建议在临床实践中考虑该指南。
    Attention Deficit/Hyperactivity Disorder (ADHD) is one of the most common and heritable neurodevelopmental disorders which may last through the life-span. A consensus report on diagnosis and management of ADHD among Turkish youth was prepared previously. However, the participants as well as the management options were rather limited and developments in the past decade necessitated a revision and update of the consensus. Therefore, this review aims to summarize the consensus among Child and Adolescent Psychiatrists from Türkiye on the nature and management of pediatric ADHD. For those aims, the etiology of ADHD, diagnostic and evaluation process, epidemiology, developmental presentations, differential diagnoses and comorbidities, course/outcome and pharmacological as well as non-pharmacological management options were reviewed and suggestions for clinical practice are presented. Since ADHD is a chronic disorder with wide-ranging effects on functionality that is frequently accompanied by other mental disorders, a multidimensional therapeutic approach is recommended. However, since the disorder has neurobiological basis, pharmacotherapy represents the mainstay of treatment. Additional therapies may include psychosocial therapy, behavioral therapy, school-based therapeutic approaches, and family education. This review provides recommendations for ADHD at the national and global levels. It contains information about ADHD that will contribute to and facilitate clinicians\' decision-making processes. It is advisable to consider this guideline in clinical practice.
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