张璟怡,舒 畅

注意力缺陷多动障碍（ADHD）是一种起病于童年期的慢性神经发育障碍。近年来，随着家长对本病的认知度提高，注意力多动障碍的诊疗热度不断攀升。因注意力多动障碍的影响可能贯穿全生命周期，故寻找合适的治疗方法尤为重要。本文就近年来国内外学者对注意力缺陷多动障碍的治疗研究进行综述，为以后注意力缺陷多动障碍的治疗和干预提供科学依据。

儿童；注意力缺陷多动障碍；药物治疗；非药物治疗

[1] Holbrook JR,Bitsko RH,Danielson ML,Visser SN.Interpreting the Prevalence of Mental Disorders in Children:Tribulation and Triangulation.Health Promot Pract.2017 Jan;18(1):5-7. [2] Thomas R,Sanders S,Doust J,Beller E,Glasziou P.Prevalence of attention-deficit/hyperactivity disorder:a systematic review and meta-analysis.Pediatrics.2015 Apr;135(4):e994-1001. [3] Li F,Cui Y,Li Y,Guo L,Ke X,Liu J,Luo X,Zheng Y,Leckman JF.Prevalence of mental disorders in school children and adolescents in China:diagnostic data from detailed clinical assessments of 17,524 individuals.J Child Psychol Psychiatry.2022 Jan;63(1):34-46. [4] Catala-Lopez F,Hutton B,Nunez-Beltran A,Page MJ,Ridao M,Macias Saint-Gerons D,et al.The pharmacological and nonpharmacological treatment of attention deficit hyperactivity disorder in children and adolescents:a systematic review withnetwork meta-analyses of randomised trials.PLoS ONE.2017;12:e0180355. [5] Storebo OJ,Krogh HB,Ramstad E,Moreira-Maia CR,Holmskov M,Skoog M,et al.Methylphenidate for attention-deficit/hyperactivity disorder in children and adolescents:Cochranesystematic review with meta-analyses and trial sequential analyses of randomised clinical trials.BMJ.2015;351:h5203. [6] Liu Q,Zhang H,Fang Q,Qin L.Comparative efficacy and safetyof methylphenidate and atomoxetine for attention-deficit hyperactivity disorder in children and adolescents:meta-analysisbased on head-to-head trials.J Clin Exp Neuropsychol.2017;39:854–65. [7] Mosholder AD,Gelperin K,Hammad TA,Phelan K,Johann-Liang R.Hallucinations and other psychotic symptoms associated with the use of attention-deficit/hyperactivity disorder drugs in children.Pediatrics.2009;123(2):611–616 [8] Greenhill L,Kollins S,Abikoff H,et al.Efficacy and safety of immediaterelease methylphenidate treatment for preschoolers with ADHD.J Am Acad Child Adolesc Psychiatry.2006;45(11):1284–1293 [9] Evans SW,Owens JS,Wymbs BT,Ray AR.Evidence-based psychosocial treatments for children and adolescents with attention deficit/hyperactivity disorder.J Clin Child Adolesc Psychol.2018;47(2):157–198 [10] Pelham WE Jr,Fabiano GA.Evidence-based psychosocial treatments for attention-deficit/hyperactivity disorder.J Clin Child Adolesc Psychol.2008;37(1):184–214 [11] Sibley MH,Bruton AM,Zhao X,Johnstone JM,Mitchell J,Hatsu I,Arnold LE,Basu HH,Levy L,Vyas P,Macphee F,Gonzalez ES,Kelley M,Jusko ML,Bolden CR,Zulauf-McCurdy C,Manzano M,Torres G.Non-pharmacological interventions for attention-deficit hyperactivity disorder in children and adolescents.Lancet Child Adolesc Health.2023 Jun;7(6):415-428.

点击下载PDF