Attention deficit hyperactivity disorder.
10.3345/kjp.2008.51.9.935
- Author:
So Hee EUN
1
;
Baik Lin EUN
Author Information
1. Department of Pediatrics, Korea University College of Medicine, Seoul, Korea. bleun@korea.ac.kr
- Publication Type:Review
- Keywords:
Attention deficit hyperactivity disorder;
Child;
Review
- MeSH:
Aluminum Hydroxide;
Attention Deficit Disorder with Hyperactivity;
Carbonates;
Child;
Dopamine;
Executive Function;
Frontal Lobe;
Hearing;
Humans;
Mass Screening;
Vision, Ocular
- From:Korean Journal of Pediatrics
2008;51(9):935-943
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Attention deficit hyperactivity disorder (ADHD) is a neurobehavioral developmental disorder characterized by a persistent pattern of inattention and/or hyperactivity, as well as forgetfulness, poor impulse control or impulsivity, and distractibility. The recommended evaluation includes documenting the type and severity of ADHD symptoms, verifying the presence of normal vision and hearing, screening for comorbid psychological conditions, reviewing the child's developmental history and school performance, and applying objective measures of cognitive function. Prevailing opinion characterizes ADHD as a disorder of executive function attributable to abnormal dopamine transmission in the frontal lobes and frontostriatal circuitry. A clearly defined etiology remains unknown, but studies suggest a strong genetic link. The aim of treatment is to decrease symptoms, enhance functionality, and improve well-being for the child and his or her close contacts. Stimulants remain the pharmacological agents of first choice for the management of ADHD, and psychosocial, behavioral and educational strategies that enhance specific behaviors may improve educational and social functioning in children with ADHD.