小儿多动症治疗最优选择.ppt

* Key points: Introduction: To illustrate the importance of the issue, here are some data from a study based on the results of pan-European survey involving an on-line questionnaire completed by parents of children and adolescents with ADHD. Methods: The sample included the parents of 910 patients with ADHD, whose results were compared with a normative population sample consisting results from the parents of 995 healthy subjects. Results: Compared with the normative population sample, parents reported that ADHD children consistently displayed more demanding, noisy, disruptive, disorganized, and impulsive behavior. Significantly more parents reported that ADHD children experienced challenges throughout the day, from morning until bedtime, compared with the normative population sample. ADHD was reported to impact most significantly on activities such as homework, family routines, and playing with other children. All relationships between ADHD children and others were also negatively affected, especially those between parent and child. Conclusions: This serves to highlight the breadth of problems experienced by ADHD children and the impact throughout the day on both activities and relationships. Source: Coghill D, Soutullo C, dAubuisson C, Preuss U, Lindback T, Silverberg M, Buitelaar J. Impact of attention-deficit/hyperactivity disorder on the patient and family: results from a European survey. Child Adolesc Psychiatry Mental Health 2008;2:31. * Key points: Here we see how problem behaviors persist throughout the day, even when children are receiving medication for treatment of ADHD On the Y-axis, the percentage of parents or guardians reporting problem behaviors in their child is given, and across the X-axis is time throughout the day. For comparison with a normative sample, the lightest bars, shown at the leftmost position of each time cluster, depict responses from parents and guardians of children without ADHD. Next to them, in the next darker bars, are children