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首页> 外文期刊>Journal of psychiatric practice. >ADHD in adults: current treatment trends with consideration of abuse potential of medications.
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ADHD in adults: current treatment trends with consideration of abuse potential of medications.

机译：成人多动症：考虑药物滥用潜能的当前治疗趋势。

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OBJECTIVE: To review the literature describing impairments in educational, occupational, and social functioning in adults with attention-deficit/hyperactivity disorder (ADHD), current treatment trends, and factors that may influence the abuse potential of long-acting medications used to treat ADHD in adults. METHODS: A MEDLINE search was conducted to identify articles relating to functional impairments and treatment options for adults with ADHD, as well as the abuse potential of ADHD medications. RESULTS: ADHD is one of the most common psychiatric behavioral disorders in children, and its symptoms have been shown to persist into adulthood. Symptoms of ADHD may occur at home, school, work, or in social situations, and symptom occurrence in these different settings can have a profound negative impact for adults with ADHD. Impairments in educational, occupational, and social functioning in adults with ADHD have been described and are summarized in this review article. Although long-acting medications are more frequently prescribed for children with ADHD than short-acting medications, adults with ADHD are equally likely to be treated with short- and long-acting medications. While all medications used to treat ADHD in adults have potential for abuse, there are a number of factors that may contribute to a lower potential for abuse for long-acting agents compared with immediate-release medications. CONCLUSION: Impairments from ADHD can be chronic and persistent and they can affect daily educational, occupational, and personal functioning. Adults, in particular, have responsibilities that can extend into the late evening hours so that clinicians need to consider medication duration of action when selecting a pharmacotherapy intervention for adults with ADHD.
机译：目的：回顾描述患有注意力缺陷/多动障碍（ADHD）的成年人的教育，职业和社会功能障碍的文献，当前的治疗趋势以​​及可能影响用于治疗ADHD的长效药物滥用潜力的因素在成人中。方法：进行了MEDLINE搜索，以鉴定与ADHD成人功能障碍和治疗选择以及ADHD药物滥用潜力有关的文章。结果：多动症是儿童中最常见的精神行为障碍之一，其症状已显示持续到成年。 ADHD的症状可能发生在家庭，学校，工作或社交场合，并且在这些不同的环境中出现的症状可能会对ADHD的成年人产生深远的负面影响。这篇ADHD成人的教育，职业和社交功能受损已有描述，并在本文中进行了总结。尽管对于多动症儿童而言，长效药物比短效药物更常见，但成人多动症患者也有可能接受短效和长效药物治疗。尽管所有用于治疗成人多动症的药物都有滥用的可能性，但与速释药物相比，有许多因素可能会导致长效药物滥用的可能性降低。结论：多动症的损害可以是长期的和持续的，它们可以影响日常的教育，职业和个人功能。尤其是成年人，其责任可能延续到深夜，因此临床医生在为患有ADHD的成年人选择药物治疗干预措施时需要考虑药物的作用时间。

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