中国儿童保健杂志 ›› 2020, Vol. 28 ›› Issue (5): 489-492.DOI: 10.11852/zgetbjzz2020-0495

• 专家笔谈 •    下一篇

注意缺陷多动障碍儿童的情绪管理

张劲松   

  1. 上海交通大学医学院附属新华医院临床心理科,上海 200092
  • 收稿日期:2020-02-27 出版日期:2020-05-10 发布日期:2020-05-10
  • 作者简介:张劲松(1966-),女,临床心理科主任,临床心理学教研室主任,主任医师,硕士生导师,心理学博士,医学硕士(精神病学和精神卫生专业),主要研究方向为儿童心理发展和精神障碍。

Management of emotional problems in children with attention deficit hyperactivity disorder

ZHANG Jin-song   

  1. Department of Medical Psychology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China
  • Received:2020-02-27 Online:2020-05-10 Published:2020-05-10

摘要: 情绪问题的发生率在注意缺陷多动障碍(ADHD)儿童中居高,包括从轻度普通的情绪问题到严重的心境障碍,增加了管理和治疗ADHD儿童的难度。因此,需要将情绪问题的管理整合进ADHD的干预方案,诊疗管理方案应是分级、跨专业、分步骤、综合性。根据情绪问题的性质和程度,不同级别和领域的临床专业人员进行适合其自身能力的管理方案,采取有依据的干预和治疗方法。通常优先重点治疗损害最大的疾病,或共同治疗。本文重点介绍了情绪问题或障碍的评估方法包括警示性症状、筛查、结构化或半结构化访谈、诊断思路、相关的心理行为治疗和药物治疗。

关键词: 注意缺陷多动障碍, 情绪问题, 情绪失调, 心境障碍

Abstract: The prevalence of emotional problems is high in children with attention deficit hyperactivity disorder(ADHD),including slight common emotional problems to serious mood disorders. It brings difficult to the management of ADHD children. It is necessary to integrate the management of emotional problem into the intervention plan of ADHD. The management plan should be classified,trans-discipline,step by step and comprehensive. According to the quality and level of emotional problems,the clinical professionals of different levels and domains implement the management program appropriate for his or her ability,take the evidence based intervention and treatment methods. The most serious disorder should take the priority to be treated,or treated at the same time. This article emphasises the assessments including the warning signs,screening scales,structure or semi-structure interview,diagnostic thinking,related psychotherapy and medication therapy.

Key words: attention deficit hyperactivity disorder, emotional problem, emotional dysregulation, mood disorders

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