青少年注意力缺陷/多动症患者的管理:独特的挑战,创新的解决方案。

Tom Janzen, Samuel Chang, Geraldine Farrelly
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引用次数: 0

摘要

摘要.重要性青春期和青年期是一个充满巨大变化的时期。由于认知、情感、神经生物学、身体和社会等方面都发生了巨大的变化,即使是健康的人,在这一关键的发展时期也会面临巨大的挑战。注意力缺陷/多动障碍(ADHD)的核心症状和相关功能障碍所带来的额外负担,会使这一过渡时期直至完全成年变得更加复杂:在这篇综述中,我们将重点关注患有多动症的青少年和年轻成人(AYAs)的独特行为和神经生物学特征。我们讨论了这些患者在向成年过渡时所面临的各种当代挑战。我们于 2022 年 2 月 23 日对 PubMed 进行了全面的文献检索。我们使用 "注意缺陷多动障碍"、"青少年 "和 "年轻成人 "等主要检索词检索了过去 10 年发表的英语同行评审文章。重要的是,我们提供了各种创新、实用的策略和解决方案,以克服患有多动症的青少年所面临的挑战,从而改善对这一特殊患者群体的管理:本综述旨在为不太熟悉多动症青少年患者管理和治疗的医生提供支持。Prim Care Companion CNS Disord 2024;26(4):24nr03718。 作者单位列于本文末尾。
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Management of Adolescents and Young Adults With Attention-Deficit/Hyperactivity Disorder: Unique Challenges, Innovative Solutions.

Abstract.

Importance: Adolescence and young adulthood can be a period of immense change. Navigating this critical period of development can be particularly challenging, even for healthy individuals, given the immense cognitive, emotional, neurobiological, physical, and social changes taking place during this time. The additional burden of the core symptoms of attention-deficit/ hyperactivity disorder (ADHD) and associated functional impairments can further complicate this transitional period through to full adulthood.

Objectives and Data Source: In this review, we focus on the distinctive behavioral and neurobiological characteristics of adolescents and young adults (AYAs) with ADHD. We discuss the variety of contemporary challenges faced by these patients as they transition to full adult maturity. A comprehensive literature search of PubMed was performed on February 23, 2022. We searched for English language peer-reviewed articles published in the previous 10 years using primary search terms including "attention deficit hyperactivity disorder," "adolescent," and "young adult." Importantly, we provide various innovative and practical strategies and solutions to overcome the challenges faced by AYAs with ADHD, with the aim of improving the management of this unique patient population.

Relevance: This review is intended to support physicians less familiar with the management and treatment of AYAs with ADHD.

Prim Care Companion CNS Disord 2024;26(4):24nr03718.

Author affiliations are listed at the end of this article.

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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
300
期刊介绍: Founded in 1998, The Primary Care Companion for CNS Disorders (ISSN 2155-7780), formerly The Primary Care Companion to The Journal of Clinical Psychiatry, is an international, peer-reviewed, online-only journal, and its articles are indexed by the National Library of Medicine. PCC seeks to advance the clinical expertise of primary care physicians and other health care professionals who treat patients with mental and neurologic illnesses. PCC publishes research from disciplines such as medicine, nursing, pharmacy, and psychology, especially as it pertains to integrated delivery systems and interdisciplinary collaboration. PCC focuses on providing information of direct clinical utility and giving a voice to clinician researchers. Practice-based research from individuals and groups with clinical expertise is particularly welcome. Pertinent manuscript types include: -Original research -Systematic reviews -Meta-analyses -Case reports and series -Commenting letters to the editor Articles published in PCC typically cover attention-deficit/hyperactivity disorder, depression, bipolar disorder, anxiety, addiction, sleep disorders, pain, Alzheimer’s disease, multiple sclerosis, and Parkinson’s disease.
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