我怎么了?你怎么了?儿童多动症的过度诊断问题

Tyler Redublo
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摘要

从历史上看,心理健康领域一直笼罩在争议和冲突中。与诊断精神疾病相关的问题在今天仍然普遍存在,在评估尚未发展成熟的社交技能和认知功能的儿童时,这一过程变得更加复杂。注意缺陷多动障碍(ADHD)是使用精神疾病诊断与统计手册(DSM)诊断的一种精神健康状况。来自主要文献的压倒性支持表明,目前诊断ADHD的程序——从儿童时期开始——允许高度的主观性、不一致性和不确定性。由于这些原因,过度诊断儿童多动症的问题变得比以往任何时候都更加重要和可信。通过概述导致这一问题的关键因素,可以做出某些修改,以改进ADHD的诊断程序,以供将来应用。这些变化可以提高心理健康评估的准确性,从而最大限度地减少全球儿童ADHD假阳性诊断的数量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What’s Wrong with Me? What’s Wrong with You? The Issue of Over-Diagnosing ADHD in Children
Historically, the field of mental health has been shrouded in controversy and conflict. The problems associated with diagnosing mental illnesses are still prevalent today, and this process becomes even more complicated when assessing children, who have yet to develop mature social skills and cognitive functioning. Attention deficit hyperactivity disorder (ADHD) is one of the mental health conditions that is diagnosed using the Diagnostic and Statistical Manual of Mental Disorders (DSM). Overwhelming support from the primary literature suggests that the current procedures of diagnosing ADHD- which begin during childhood- allow for a high degree of subjectivity, inconsistency, and uncertainty. For these reasons, the issue of over-diagnosing ADHD in children has become more significant, and more plausible than ever before. By outlining the key factors that contribute to this problem, certain modifications can be made to improve the ADHD diagnostic procedures for future applications. These changes can increase the accuracy of mental health assessments, thus minimizing the number of false positive diagnoses of ADHD in children worldwide.
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