中国儿童注意缺陷多动障碍adhd防治指南PPT课件.ppt

What should we do for ADHD children in Future ? Set up education program for parents and teachers ? Improving the Mental Health system ? Creating ADHD treatment guideline ? Improving the CME for Psychiatrist, Paediatrician and Neurologist ? Carrying out the rational Multi-modal Interventions and emphasis that Medication is the first-line treatment for ADHD. Thank you ! 谢谢 谢谢 * Some of the important landmarks in the evolution of the concept of ADHD include: The British pediatrician, Sir George Still provided in 1902 early description of non-retarded non-brain damaged children suffering from defective volition and inattention and identified a 3:1 male:female ratio of prevalence. He stressed that inattention, impulsivity, and hyperactivity played a major role and that the condition did not respond to punishment. Several other workers, however, believed in their thesis of brain damage. In 1937, Bradley and others observed marked behavioral improvement in children receiving amphetamines. These studies re-focused the attention of the medical world to the earlier noting by Sir George Still on the behavioral syndrome of hyperactive-impulsive children. In 1963, the Oxford Conference, an international study group on child neurology coined the term “minimal brain dysfunction” to identify these children Synthesized research literature suggested in 1978 that cognitive rather than motor deficits were at the root of the condition. In 1968, the Diagnostic and Statistical Manual of Mental Disorders, second edition (DSM-II) and the International Statistical Classification of Disease (ICD-9) in 1965 renamed the disorder as hyperkinetic syndrome of childhood. The third edition of the DSM (DSM-III) formalized the disorder as attention deficit disorder with or without hyperactivity (ADDH or ADD). The revision to DSM-III deleted the term ADD and postulated over-activity and restlessness as key to the disorder. The fourth edition of DSM (DSM-IV) in 1994, c