Recent Advances in the Prognosis and Influencing Factors of Attention Deficit Hyperactivity Disorder in Children

doi:10.12114/j.issn.1007-9572.2019.00.080

Abstract

Abstract: Over 50% of the persons who suffer from attention deficit hyperactivity disorder （ADHD） in childhood，still have obvious ADHD symptoms in adulthood.If the symptoms are poorly controlled，they can continue to exert negative impacts on the patient and his family，hinder the patient's academic，social functioning and emotional functioning and behavioral normal development，resulting in poor academic performance，low occupational status，increased risk of drug abuse，and even committing a crime.ADHD seriously impairs the patient an social functioning and quality of life，even leads to mental or personality disorders.Many factors，such as severe ADHD symptoms in childhood，comorbidities，inappropriate treatment，poor family and social environments，and biogenetic causes are associated with the poor prognosis of the disease in adulthood.This article mainly expounds and analyzes recent advances in the prognosis of childhood-onset ADHD in adulthood and influencing factors.

Key words: Attention deficit disorder with hyperactivity, Child, Prognosis, Root cause analysis

摘要： 儿童注意缺陷多动障碍（ADHD）不仅存在于儿童期，大约50%以上的患儿成年后仍存在明显的症状，如果ADHD症状控制欠佳，会持续对患儿及其家庭产生不利影响，阻碍患儿的学业、社会和情感功能和正常的行为发展，造成学习成绩差、职业地位低、滥用药物危险性增加和犯罪等不良后果。严重影响患儿的社会功能和生活质量，严重者还会出现精神障碍或人格障碍。儿童期ADHD症状越重，共患其他疾病，治疗情况，不利的家庭和社会因素及不良的生物遗传学因素等，均与ADHD持续到成年期的不良预后有关。本文主要就ADHD成年期预后及其影响因素研究进展进行阐述和分析。

关键词: 注意力缺陷障碍伴多动, 儿童, 预后, 影响因素分析

ZHAI Qian,FENG Lei,ZHANG Guofu. Recent Advances in the Prognosis and Influencing Factors of Attention Deficit Hyperactivity Disorder in Children　[J]. Chinese General Practice, 2019, 22(14): 1712-1716. DOI: 10.12114/j.issn.1007-9572.2019.00.080.
翟倩,丰雷,张国富. 儿童注意缺陷多动障碍预后及其影响因素研究进展[J]. 中国全科医学, 2019, 22(14): 1712-1716. DOI: 10.12114/j.issn.1007-9572.2019.00.080.

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