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주의력결핍 과잉행동장애 진단 및 치료: ADHD 중개연구센터 가이드라인
The Guideline of Diagnosis and Treatment of Attention-Deficit Hyperactivity Disorder: Developed by ADHD Translational Research Center 원문보기

소아청소년정신의학 = Journal of the Korean Academy of Child and Adolescent Psychiatry, v.27 no.4, 2016년, pp.236 - 266  

이수민 (서울대학교 의과대학 정신건강의학교실 소아정신분과) ,  최재원 (서울대학교 의과대학 정신건강의학교실 소아정신분과) ,  김경민 (서울대학교 의과대학 정신건강의학교실 소아정신분과) ,  김준원 (대구가톨릭대학교 의과대학 정신건강의학교실) ,  김수연 (서울대학교 의과대학 정신건강의학교실 소아정신분과) ,  강태웅 (아이나래 정신건강의학과의원) ,  김인향 (서울대학교 의과대학 정신건강의학교실 소아정신분과) ,  이영식 (중앙대학교 의과대학 중앙대학교병원 정신건강의학교실) ,  김봉석 (인제대학교 의과대학 상계백병원 정신건강의학교실) ,  한덕현 (중앙대학교 의과대학 중앙대학교병원 정신건강의학교실) ,  정재훈 (삼육대학교 의명신경과학연구소) ,  이소영 (순천향대학교 의과대학 부천병원 정신건강의학교실) ,  현기정 (중앙대학교 의과대학 중앙대학교병원 정신건강의학교실) ,  김붕년 (서울대학교 의과대학 정신건강의학교실 소아정신분과)

Abstract AI-Helper 아이콘AI-Helper

Attention-deficit hyperactivity disorder (ADHD) is one of the most common childhood psychiatric conditions. In 2007, the Korean Academy of child and Adolescent Psychiatry developed Korean ADHD practice parameter. Advances in the scientific evidence of ADHD caused practice parameter to be modified an...

주제어

질의응답

핵심어 질문 논문에서 추출한 답변
ADHD의 선별은 누구에게 이루어져야 하는가? ADHD의 선별은 심리적 고통이나 정신병적 문제로 병원을 찾은 사람뿐 아니라 심리 센터, 학교 상담실 등 비의료기관을 방문한 사람들에게도 이루어져야 한다. 선별하는 임상의 혹은 상담가는 미리 ADHD 증상 척도 혹은 특정 설문지를 비치하는 것이 도움이 된다.
주의력결핍 과잉행동장애에 대하여 DSM-5에서는 진단기준을 어떻게 변경하였는가? 2013년에 개정된 DSM-5에서는 이전 진단기준에 비하여 발달학적 관점을 더 고려하였다. DSM-5에서는 ADHD의 발병연령을 7세 이전에서 12세 이전으로 변경하였고, 연령이 높아지면서 과잉행동이 감소하는 것을 고려하여 17세 이상, 성인에서는 부주의와 과잉행동 및 충동성 두영역 모두에서 진단기준 5개 이상으로 변경되었다(소아의 경우 이전과 같이 6개). 이전에 아형(subtype)이라 불리던 세부 유형을 현재 상태(current presentation)로 변경하였으며 현재의 증상 심각도를 경도, 중등도, 중증으로 평가하게 하였다. 그리고 배제진단에서 자폐스펙트럼장애가 제외되어 ADHD와 동반 진단이 가능하게 되었다.1) DSM-IV-TR과 DSM-5의 차이점은 Table 1에 정리하였다.
주의력결핍 과잉행동장애는 무엇인가? 주의력결핍 과잉행동장애(attention-deficit hyperactivity dis-order, ADHD)는 과잉행동과 부주의, 충동성의 세 가지 특성을 가지는 장애이다. 2013년에 개정된 DSM-5에서는 이전 진단기준에 비하여 발달학적 관점을 더 고려하였다.
질의응답 정보가 도움이 되었나요?

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