<原著>多動児の臨床的研究と概念規定
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概要
- 論文の詳細を見る
In Japan, there has been little research on hyperactive children and almost none on their prognosis. In foreign countries, although much relevant research has been conducted, no fixed concept of the condition has been proposed yet and the "hyperkinetic syndrome of childhood", which was mentioned in ICD-9,has been renamed the "attention deficit disorder" in DSM-III. 169 hyperactive children were investigated with regard to their clinical background, and the long term prognosis in 22 of them is reported in this paper as follows. The peak of the age at the time of the first consultation in our clinic ranged from 6 to 9 years. The number of males (82.8%) was much more than that of females (17.2%), and 66.0% of the children with hyperkinetic syndrome was the eldest siblings, excluding only children. Perinatal complications were detected in 73.6% of the hyperkinetic syndrome cases. Methylphenidate was not so effective as reported in the past. When diagnosing children exhibiting hyperactivity, it is indispensable for us to differentially make diagnoses of mental retardation, infantile autism, epilepsy, tics, and neurotic disorders, considering both biological and psychological aspects of the children. As to the prognosis of 22 cases reported here when they became 18-22 years of age, 90% of them did not show hyperactivity, nevertheless it can be said that children who show aggression on the first consultation may have trouble later in their prognosis.
- 近畿大学の論文
- 1988-12-25