从全生命周期视角识别和治疗注意缺陷多动障碍女童和女性的专家共识(2020年版)解读

doi:10.11852/zgetbjzz2022-0909

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (5): 570-575.DOI: 10.11852/zgetbjzz2022-0909

从全生命周期视角识别和治疗注意缺陷多动障碍女童和女性的专家共识(2020年版)解读

张婕, 安英萍, 杨毅, 张艳楠, 田琳

西安市儿童医院儿童保健中心,陕西西安 710003

收稿日期:2022-07-26 修回日期:2022-12-08 发布日期:2023-05-06 出版日期:2023-05-10
通讯作者: 田琳,E-mail:393661167@qq.com
作者简介:张婕(1975-),女,陕西人,主任医师,硕士学位,主要研究方向为儿童神经发育障碍疾病。
基金资助:
西安市儿童医院院级课题项目(2020D13)

Interpretation of "Females with ADHD:An expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women (2020) "

ZHANG Jie, AN Yingping, YANG Yi, ZHANG Yannan, TIAN Lin

Department of Children's Health Care Center, Xi' an Children's Hospital, Xi'an, Shaanxi 710003, China

Received:2022-07-26 Revised:2022-12-08 Online:2023-05-10 Published:2023-05-06
Contact: TIAN Lin, E-mail:393661167@qq.com

摘要/Abstract

摘要： 注意缺陷多动障碍(ADHD)是一种儿童常见的神经发育性障碍。由于ADHD女童及女性大多没有外化的行为问题,并且大众对于ADHD症状存在刻板印象,因此有相当一部分ADHD女童及女性未得到及时诊断和治疗,导致其多种社会功能受损,增加了成年期的健康隐患。2020年,英国ADHD合作机构(The United Kingdom ADHD Partnership)发表了“ADHD女性患者:从全生命周期视角为识别和治疗患有注意缺陷/多动障碍的女童及女性提供指导的一份专家共识声明”,该共识首次提出从“全生命周期”的管理角度探讨ADHD女性患者的诊断和治疗方案,并提供了相关建议。本文就该专家共识进行解读,以期为女童及女性ADHD的识别、评估诊断、治疗及管理等方面提供相关帮助,改善其长期健康状况和临床预后。

关键词: 注意缺陷多动障碍, 女童, 女性, 全生命周期

Abstract: Attention deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children. Since most girls and women with ADHD do not have externalized behavioral problems and the public has a stereotype of ADHD symptoms, a considerable number of girls and women with ADHD do not receive timely diagnosis and scientific treatment, resulting in a variety of social function impairment and increased health risks in adulthood. In 2020, The United Kingdom ADHD Partnership published "Females with ADHD:An expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women", which for the first time addresses the diagnosis and treatment of women with ADHD from a lifespan management perspective and provides recommendations. This paper interprets the expert consensus in order to provide relevant help for the identification, evaluation, diagnosis, treatment and management of ADHD in girls and women and improve their long-term health status and clinical prognosis.

Key words: attention deficit/hyperactivity disorder, girls, female, lifespan

中图分类号:

R749.94

张婕, 安英萍, 杨毅, 张艳楠, 田琳. 从全生命周期视角识别和治疗注意缺陷多动障碍女童和女性的专家共识(2020年版)解读[J]. 中国儿童保健杂志, 2023, 31(5): 570-575.

ZHANG Jie, AN Yingping, YANG Yi, ZHANG Yannan, TIAN Lin. Interpretation of "Females with ADHD:An expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women (2020) "[J]. Chinese Journal of Child Health Care, 2023, 31(5): 570-575.

参考文献

[1] Li F, Cui Y, Li Y, et al. Prevalence of mentaldisorders in school children and adolescents in China:diagnostic data from detailed clinical assessments of 17,524 individuals[J].J Child Psychol Psychiatry. 2022,63(1):34-46.
[2] Wolraich ML, Hagan JF, Allan C, et al. Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents[J]. Pediatrics, 2019,144(4):e20192528.
[3] Franke B, Michelini G, Asherson P,et al.Live fast, die young? A review on the developmental trajectories of ADHD across the lifespan[J].Eur Neuropsychopharmacol, 2018,28(10):59-88.
[4] 中华医学会儿科学分会发育行为学组.注意缺陷多动障碍早期识别、规范诊断和治疗的儿科专家共识[J].中华儿科杂志,2020,58(3):188-193.
The Subspecialty Group of Developmental and BehavioralPediatrics,the Society of Pediatrics,Chinese Medical Association.Consensus on pediatric clinical practice of early identification,standardized diagnosis and treatment of attention deficit hyperactivity disorder[J].Chin J Pediatr,2020,58(3):188-193.(in Chinese)
[5] O8(3):188-19Hinshaw SP. Long-term outcomes of females with attention-deficit hyperactivity disorder:Increased risk for self-harm[J]. Br J Psychiatry,2021, 28(1):4-6.
[6] Young S,Adamo N, Ásgeirsdóttir BB, et al. Females with ADHD:An expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women[J].BMC Psychiatry, 2020, 20(1):404.
[7] Vildalen VU, Brevik EJ, Haavik J, et al. Females with ADHD report more severe symptoms than males on the adult ADHD self-report scale[J]. J Atten Disord,2019, 23(9):959-967.
[8] Babinski D, Neely KA, Ba DM, et al. Depression and suicidal behavior in young adult men and women with ADHD:Evidence from claims data[J].JClin Psychiatry,2020,81(6):19m13130.
[9] Uchida M, Spencer TJ,Faraone SV, et al.Adult outcome of ADHD:An overview of results from the MGH longitudinal family studies of pediatrically and psychiatrically referred youth with and without ADHD of both sexes[J].J Atten Disord, 2018,22(6):523-534.
[10] Fitzgerald C,Dalsgaard S, Nordentoft M,et al. Suicidal behaviour among persons with attention defificit hyperactivity disorder[J]. Br J Psychiatry, 2019,7(7):1-6.
[11] Halkett A, Hinshaw SP. Initial engagement in oral sex and sexual intercourse among adolescent girls with and without childhood attention-defificit/hyperactivity disorder[J]. Arch Sex Behav, 2021,50(1):181-190.
[12] Rokeach A, Wiener J. The romantic relationships of adolescents with ADHD[J].J Atten Disord, 2018,22(1):35-45.
[13] Owens EB,Hinshaw SP. Adolescent mediators of unplanned pregnancy among young women with and without childhood ADHD[J]. J Clin Child Adolesc Psychol, 2020,49(2):229-238.
[14] Millenet S, Laucht M, Hohm E,et al. Sex specifific trajectories of ADHD symptoms from adolescence to young adulthood[J]. Eur Child Adolesc Psychiatry, 2018, 27(8):1067-1075.
[15] Meza J, Owens E,Hinshaw S.Childhood predictors and moderators of lifetime risk of self-harm in girls with and without attention-defificit/hyperactivity disorder[J]. Dev Psychopathol, 2021,33(4), 1351-1367.
[16] Garas P, Balazs J.Long-term suicide risk of children and adolescents with attention defificit and hyperactivity disorder:A systematic review[J].Front Psychiatry,2020, 11:557909.
[17] Beauchaine TP, Hinshaw SP, Bridge JA. Nonsuicidal self-injury and suicidal behaviors in girls:The case for targeted prevention in preadolescence[J]. Clin Psychol Sci, 2019,7(4):643-667.
[18] Skoglund C, Kopp KH, Skalkidou A, et al. Association of attention-defificit /hyperactivity disorder with teenage birth among women and girls in Sweden[J]. JAMA Netw Open, 2019,2(10):e1912463.
[19] Meyer BJ, Stevenson J,Sonuga BE. Sex differences in the meaning of parent and teacher ratings of ADHD behaviors:An observational study[J]. J Atten Disord,2020, 24(13):1847-1856.
[20] Sellers R, Harold GT, Smith AF, et al. Disentangling nature from nurture in examining the interplay betweenparentchild relationships, ADHD, and early academic attainment[J]. Psychol Med, 2021,51(4): 645-652.
[21] Balazs J, Gyori D, Horvath LO, et al. Attention-defificit hyperactivity disorder and nonsuicidal self-injury in a clinical sample of adolescents:The role of comorbidities and gender[J]. BMC Psychiatry, 2018,18(1):34.
[22] Guendelman M, Owens E, Galan C,et al. Early-adult correlates of maltreatment in girls with attention-defificit/hyperactivity disorder:Increased risk for internalizing symptoms and suicidality[J]. Dev Psychopathol, 2016,28(1):1-14.
[23] Joseph HM,Khetarpal SK, Wilson M, et al. Parent ADHD is associated with greater parenting distress in the first year postpartum[J]. J Atten Disord, 2022, 26(9):1257-1268.
[24] Hinshaw SP,Nguyen PT, Grady SM,et al.Annual research review:Attention-defificit / hyperactivity disorder in girls and women:Underrepresentation, longitudinal processes,and key directions[J].J Child Psychol Psychiatry, 2022, 63(4):484-496.
[25] Martin J, Walters RK,Demontis D,et al.A genetic investigation of sex bias in the prevalence of attention defificit/hyperactivity disorder[J].Biol Psychiatry,2018,83(12):1044-1053.

从全生命周期视角识别和治疗注意缺陷多动障碍女童和女性的专家共识(2020年版)解读

Interpretation of "Females with ADHD:An expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women (2020) "

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