医師の一分

アクセスカウンタ

zoom RSS ADHDの症状はしばしば1年で軽快することがある

<<   作成日時 : 2010/04/01 23:54   >>

驚いた ブログ気持玉 6 / トラックバック 0 / コメント 2

 ADHDの子どもは症状が1〜2年で治まることがあるので毎年評価されるべきである。
 注意力に問題があるがADHDと診断されなかったグレード1の27人、グレード4の24人、ADHDと診断されたグレード1〜4の28人の3グループの小学生を追跡したところ、多くの子どものグレードが低下し、25-50%が正常範囲になった。少なくとも6つのADHD症状をもつと見られた子どもの1/3が1年後には注意障害問題が消失した。

-----------------------------------------------------
ADHD Symptoms Often Subside Within a Year
Children should be rechecked annually to prevent unneeded treatment, researchers say
-- Randy Dotinga
http://health.msn.com/health-topics/adhd/articlepage.aspx?cp-documentid=100256299

画像Children should be rechecked annually to prevent unneeded treatment, researchers say.

FRIDAY, March 26 (HealthDay News) -- Children identified with an attention-deficit problem should be re-evaluated annually because symptoms often subside from one year to the next, researchers say.

The study authors looked at three groups of elementary school-age children: 27 first-graders and 24 fourth-graders who appeared to have trouble paying attention but weren't diagnosed as having attention deficit hyperactivity disorder (ADHD), and 28 kids in grades one through four who had been diagnosed with ADHD.

Teachers ranked the inattention levels of the students about once a year. The findings were published in the March 17 online edition of the Journal of Developmental and Behavioral Pediatrics.

According to the researchers, scores of highly inattentive behavior declined for most children and fell to normal ranges for 25 percent to 50 percent of them. About one-third of kids showed no signs of an attention problem the year after they were thought to show at least six symptoms of ADHD.

The study authors pointed out that it is possible that attention problems could be the result of factors other than the child himself or herself. Poor organization in a classroom or disruptive classmates could cause attention problems instead, they suggested. Rechecking symptoms could prevent unneeded treatment for ADHD, they concluded.

More information

The U.S. National Institute of Mental Health has more on attention deficit hyperactivity disorder.
SOURCE: Duke University, news release, March 22, 2010

Copyright @2010 HealthDay. All Rights Reserved.

-----------------------------------------------------
Journal of Developmental & Behavioral Pediatrics:
POST AUTHOR CORRECTIONS, 17 March 2010
doi: 10.1097/DBP.0b013e3181d5a2d8
Original Article: PDF Only

Instability in Teacher Ratings of Children's Inattentive Symptoms: Implications for the Assessment of ADHD
Rabiner, David L. PhD; Murray, Desiree W. PhD; Rosen, Lisa PhD; Hardy, Kristina PhD; Skinner, Ann MEd; Underwood, Marion PhD

Abstract

Objective: To examine the cross-grade stability of clinically elevated teacher ratings of inattentive symptoms in 3 samples of elementary schoolchildren.

Participants and Methods: Samples 1 and 2 included 27 first graders and 24 fourth graders, respectively, identified based on clinically elevated teacher ratings of inattentive symptoms. The third sample included 28 children in grades 1 to 4 from the Multimodal Treatment Study of attention-deficit hyperactivity disorder (Multimodal Treatment Study of Children with attention-deficit hyperactivity disorder Study) with a confirmed attention-deficit hyperactivity disorder diagnosis. Teacher ratings of inattentive symptoms were completed an average of 12 to 14 months apart so that cross-grade stability of elevated ratings could be computed for each sample.

Results: In all 3 samples, clinically elevated ratings persisted for less than 50% of children and between 25% and 50% had ratings that declined to within the normative range. The decline in attention difficulties was not related to hyperactivity, oppositional behavior, or anxiety at baseline, nor was it explained by children beginning medication treatment.

Conclusions: Many elementary-aged children rated by their teachers as highly inattentive are not considered to demonstrate these problems the following year, even children with a confirmed attention-deficit hyperactivity disorder diagnosis. The instability in clinically elevated teacher ratings found across 3 independent samples highlights the importance of annual reevaluations to avoid treating children for problems that may no longer be present.

(C) 2010 Lippincott Williams & Wilkins, Inc.


テーマ

関連テーマ 一覧


月別リンク

ブログ気持玉

クリックして気持ちを伝えよう!
ログインしてクリックすれば、自分のブログへのリンクが付きます。
→ログインへ
気持玉数 : 6
驚いた 驚いた 驚いた 驚いた
なるほど(納得、参考になった、ヘー)
かわいい

トラックバック(0件)

タイトル (本文) ブログ名/日時

トラックバック用URL help


自分のブログにトラックバック記事作成(会員用) help

タイトル
本 文

コメント(2件)

内 容 ニックネーム/日時
はじめましてBOGEYといいます。
小学校の現場で働いています。実際に現場でも1〜3年のスパンでADHDの確定診断を受けたお子さんが大変穏やかになってくるケースをいくつか担当しました。
このことは周囲の働きかけや環境の影響も大きいとも思っています。
これからも記事を楽しみにしています。
BOGEY
2010/04/04 14:09
it is possible that attention problems could be the result of factors other than the child himself or herself. Poor organization in a classroom or disruptive classmates could cause attention problems instead, they suggested.
「子供自身の問題ではない他の要因が注意力の問題を引き起こしている可能性がある。クラスの統制が取れていなかったりクラスメートの妨害によって注意力の問題が引き起こされているのかもしれないと研究者たちはいう。」

スクールカウンセラーの勧めから精神科を受診し、コンサータを勧められましたが副作用が気になり断りました。
1年後の今は随分注意力も増してきたようです。
こういう理屈だったのかもしれません。
中山愛美
2010/06/16 23:53

コメントする help

ニックネーム
本 文
ADHDの症状はしばしば1年で軽快することがある 医師の一分/BIGLOBEウェブリブログ
文字サイズ:       閉じる