2010年10月25日 星期一

過動兒 Attention Deficit Disorder DSM IV

可以分成兩種,注意力不集中,和過動-衝動

  INATTENTION
           (need 6 of 9)

  1. often fails to give close attention to details or makes careless mistakes in schoolwork, work or other activities 無法專注於細節,常粗心犯錯
  2. often has difficulty sustaining attention in tasks or play activities 很難保持注意力
  3. often does not seem to listen when spoken to directly 直接交談,但看起來沒在聽你講話
  4. often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (no if oppositional behavior or doesn't understand instructions) 沒有辦法按照指令做事
  5. often has difficulty organizing tasks and activities 很難安排好工作或活動
  6. often avoids, dislikes, or is reluctant to engage in tasks or activities that require sustained mental effort (such as schoolwork or homework) 不喜歡要持續動腦的活動
  7. often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools) 常掉必須要的東西
  8. often easily distracted by extraneous stimuli 容易受外界刺激而分心
  9. often forgetful in daily activities 忘記例行的事



HYPERACTIVITY-IMPULSIVITY
(need 6 of 9)

  1. often fidgets with hands or feet or squirms in seat 坐立不安,蠢蠢欲動
  2. often leaves seat in classroom or in other situations in which remaining seated is expected 不能乖乖坐好,常離開座位
  3. often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness) 不該跑的時候跑,不該爬的地方爬
  4. often has difficulty playing or engaging in leisure activities quietly 很難安靜地玩樂與休閒
  5. is often "on the go" or often acts as if "driven by a motor" 馬達停不下來
  6. often talks excessively 太多話
  7. often blurts out answers before questions have been completed 問題還沒結束就搶答
  8. often has difficulty awaiting turn 不能乖乖排隊
  9. often interrupts or intrudes on others (e.g., butts into conversations or games) 插話,打斷別人
REQUIREMENTS (必要條件)

  • Present at least 6 months, maladaptive and inconsistent with development level 至少要超過6個月
  • Some symptoms that caused impairment were present before age 7 七歲前可能發生
  • Some impairment from the symptoms is present in two or more settings (e.g., at school {or work} and at home) 在兩個以上的場合會發生
  • There must be clear evidence of clinically significant impairment in social, academic or occupational functioning 產生障礙才算

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