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1、PowerPoint?LectureNotesPresentationDisordersofChildhood兒童期疾患AbnormalPsychology,TenthEditionbyAnnM.Kring,GeraldC.Davison,JohnM.Neale,&SheriL.JohnsonClassificationandDiagnosisofChildhoodDisorders兒童期疾患的分類和診斷Developmentalpsychopathology發(fā)展的心理病理學(xué)Studiesdiso
2、rdersofchildhoodwithinthecontextofnormalchilddevelopment在正常兒童發(fā)展的背景脈絡(luò)下研究?jī)和诘募不糆xternalizingdisorders外化性疾患Characterizedbyoutwardbehaviors以外化性的行為為其特性Noncompliance,aggressiveness,overactivity,impulsiveness不服從,攻擊,過(guò)動(dòng),衝動(dòng)Morecommoninboys在男孩較普遍Internalizingdiso
3、rders內(nèi)化性疾患Characterizedbyinwardbehaviors以向化的行為為其特性Depression,anxiety,socialwithdrawal憂鬱,焦慮,社會(huì)退縮Morecommoningirls在女孩較普遍2Copyright2005JohnWiley&Sons,NYTable14.1ChaptersWhereDisordersareDiscussedThatOccurinBothChildrenandAdults在兒童和成人身上皆會(huì)發(fā)生的疾患章節(jié)3Copyright2
4、005JohnWiley&Sons,NYAttentionDeficit/HyperactivityDisorder注意力不足/過(guò)動(dòng)疾患Excessivelevelsofactivity過(guò)多的活動(dòng)Fidgeting,squirming,runningaroundwheninappropriate,incessanttalking不安,扭動(dòng),不恰當(dāng)?shù)淖邉?dòng),不停的說(shuō)話Distractabilityanddifficultyconcentrating分心和有困難集中Makescarelessmistake
5、s,can’tfollowinstructions,forgetful粗心犯錯(cuò),不能聽(tīng)從指令,健忘Mustbesevereandpersistent必須嚴(yán)重且持續(xù)Presentforatleast6monthsandcauseimpairmentsinfunctioning持續(xù)至少六個(gè)月並產(chǎn)生功能的受損4Copyright2005JohnWiley&Sons,NYAttentionDeficit/HyperactivityDisorder注意力不足/過(guò)動(dòng)疾患ThreesubcategoriesinD
6、SM-IV-TR在DSM-IV-TR中可分為三個(gè)亞型:Predominantlyinattentivetype主要為不注意型Predominantlyhyperactive-impulsivetype主要為過(guò)動(dòng)-易衝動(dòng)型Combinedtype複合型Differentialdiagnosis鑑別診斷ADHDorConductDisorder?注意力不足過(guò)動(dòng)疾患或品性疾患?ADHD注意力不足過(guò)動(dòng)疾患Moreoff-taskbehavior,cognitive&achievementdeficits較多
7、無(wú)法達(dá)成工作的行為,認(rèn)知和成就上缺陷ConductDisorder品行疾患Moreaggressive,actoutinmostsettings,antisocialparents,familyhostility較多攻擊性,常出現(xiàn)動(dòng)作外化行為,反社會(huì)性父母,家人敵意5Copyright2005JohnWiley&Sons,NYAttentionDeficit/HyperactivityDisorder注意力不足/過(guò)動(dòng)疾患ADHDoftencomorbidwithanxietyanddepressio
8、n通常和焦慮和憂鬱共病Prevalenceestimates2to7%盛行率估計(jì)約2到7%Symptomspersistbeyondchildhood癥狀在兒童期之後仍持續(xù)Moststillmeetcriteriainadolescence大部分在青少年期仍符合準(zhǔn)則6Copyright2005JohnWiley&Sons,NYEtiologyofADHD注意力不足過(guò)動(dòng)疾患的病因?qū)WGeneticfactors遺傳因素Twinstudies雙生子研究Heritabilit