成人注意力缺陷/多动障碍:生物学机制、治疗和结果的叙述性回顾。

IF 4.8 2区 医学 Q1 CLINICAL NEUROLOGY
Antonio F Pagán, Yazmine P Huizar, Tucker R Short, Zoe Gotcher, Adam T Schmidt
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引用次数: 3

摘要

综述目的:注意缺陷/多动障碍(ADHD)是一种异质性和复杂的神经发育障碍,与多种神经元结构和通路、多巴胺(DA)转运体和受体基因的破坏有关,导致认知和调节缺陷。本文综述了近年来关于成人ADHD的生物学机制和标志物、临床表现、治疗方法和预后的研究,以及该领域目前的争议。最新发现:新的研究发现,患有多动症的成年人的多条皮质通路中存在白质破坏。新的成人ADHD治疗方法如维洛嗪ER已经显示出初步的效果,此外还有研究表明经颅直流电刺激可以有效治疗成人ADHD。尽管目前对成人多动症的评估和治疗的有效性存在问题,但最近的研究结果表明,对于经历这种终身慢性健康状况的个人来说,朝着改善生活质量和结果迈出了一步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adult Attention-Deficit/Hyperactivity Disorder: a Narrative Review of Biological Mechanisms, Treatments, and Outcomes.

Purpose of review: Attention-deficit/hyperactivity disorder (ADHD) is a heterogeneous and complex neurodevelopmental disorder related to disruptions in various neuronal structures and pathways, dopamine (DA) transporter, and receptor genes, resulting in cognitive and regulation deficits. This article reviews recent research on the biological mechanisms and markers, clinical manifestations, treatments, and outcomes of adult ADHD as well as current controversies within the field.

Recent findings: New research identifies white matter disruptions in multiple cortical pathways in adults with ADHD. New treatments for ADHD in adults such as viloxazine ER have shown preliminary effectiveness in addition to research showing transcranial direct current stimulation can be an effective treatment for adults with ADHD. Although questions exist about the effectiveness of current assessments of and treatments for adult ADHD, recent findings represent a step towards improving the quality of life and outcomes for individuals experiencing this life-long, chronic health condition.

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来源期刊
CiteScore
9.20
自引率
0.00%
发文量
73
审稿时长
6-12 weeks
期刊介绍: Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.
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