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  <title>ADHD互助社区 : 《美国精神障碍诊断与统计手册第四版》（DSM-Ⅳ）中儿童多动症的诊断标准</title>
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   <title><![CDATA[《美国精神障碍诊断与统计手册第四版》（DSM-Ⅳ）中儿童多动症的诊断标准 :   《美国精神障碍诊断与统计手册第四版》（DSM-Ⅳ）中儿童多动症的诊断标准  A....]]></title>
   <link>http://www.adhd.org.cn/forum/forum_posts.asp?TID=301&amp;PID=1007&amp;title=dsm#1007</link>
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    <![CDATA[<strong>发表人:</strong> <a href="http://www.adhd.org.cn/forum/member_profile.asp?PF=51">逆风飞扬</a><br /><strong>标题:</strong> 301<br /><strong>发表:&nbsp;</strong> 2006/12/12  10:02am<br /><br /><SPAN lang=EN-US><FONT face="Times New Roman"><DIV><FONT size=3><B><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">&nbsp;&nbsp; 《美国精神障碍诊断与统计手册第四版》（</SPAN><SPAN lang=EN-US>DSM-</SPAN></B><B><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">Ⅳ）中儿童多动症的诊断标准</SPAN></B></FONT></DIV><DIV><FONT size=3><B><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"></SPAN><SPAN lang=EN-US><?:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></B></FONT>&nbsp;</DIV><DIV><FONT size=3><strong><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">A. ADHD</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-bidi-font-family: 'Times New Roman'; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">有四种亚型：</SPAN></strong></FONT></DIV><DIV><FONT size=3>1.</FONT></FONT></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">权威的注意缺陷类型（</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">314.00</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">）必须有以下症状中的</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">6</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">个或以上</SPAN></FONT></DIV><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 27pt; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 36.0pt; tab-stops: list 45.0pt; mso-list: l0 level1 lfo1"><SPAN lang=EN-US style="mso-fareast-font-family: 'Times New Roman'"><SPAN style="mso-list: Ignore"><FONT face="Times New Roman"><FONT size=3>1)</FONT><SPAN style="FONT: 7pt 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></FONT></SPAN></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">在工作</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">/</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">课业中经常粗心犯错误或不留意细节</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 27pt; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 36.0pt; tab-stops: list 45.0pt; mso-list: l0 level1 lfo1"><SPAN lang=EN-US style="mso-fareast-font-family: 'Times New Roman'"><SPAN style="mso-list: Ignore"><FONT face="Times New Roman"><FONT size=3>2)</FONT><SPAN style="FONT: 7pt 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></FONT></SPAN></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"><FONT size=3>保持注意力困难</FONT></SPAN></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 27pt; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 36.0pt; tab-stops: list 45.0pt; mso-list: l0 level1 lfo1"><SPAN lang=EN-US style="mso-fareast-font-family: 'Times New Roman'"><SPAN style="mso-list: Ignore"><FONT face="Times New Roman"><FONT size=3>3)</FONT><SPAN style="FONT: 7pt 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></FONT></SPAN></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"><FONT size=3>经常不能注意聆听</FONT></SPAN></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 27pt; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 36.0pt; tab-stops: list 45.0pt; mso-list: l0 level1 lfo1"><SPAN lang=EN-US style="mso-fareast-font-family: 'Times New Roman'"><SPAN style="mso-list: Ignore"><FONT face="Times New Roman"><FONT size=3>4)</FONT><SPAN style="FONT: 7pt 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></FONT></SPAN></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">常不能按要求把事情做完，不能完成作业</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">/</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">工作等（不是由于敌对或不明白指令）</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 27pt; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 36.0pt; tab-stops: list 45.0pt; mso-list: l0 level1 lfo1"><SPAN lang=EN-US style="mso-fareast-font-family: 'Times New Roman'"><SPAN style="mso-list: Ignore"><FONT face="Times New Roman"><FONT size=3>5)</FONT><SPAN style="FONT: 7pt 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></FONT></SPAN></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"><FONT size=3>在组织任务或活动方面有困难</FONT></SPAN></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 27pt; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 36.0pt; tab-stops: list 45.0pt; mso-list: l0 level1 lfo1"><SPAN lang=EN-US style="mso-fareast-font-family: 'Times New Roman'"><SPAN style="mso-list: Ignore"><FONT face="Times New Roman"><FONT size=3>6)</FONT><SPAN style="FONT: 7pt 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></FONT></SPAN></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"><FONT size=3>常常回避或不情愿做需要长时间投入脑力的任务</FONT></SPAN></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 27pt; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 36.0pt; tab-stops: list 45.0pt; mso-list: l0 level1 lfo1"><SPAN lang=EN-US style="mso-fareast-font-family: 'Times New Roman'"><SPAN style="mso-list: Ignore"><FONT face="Times New Roman"><FONT size=3>7)</FONT><SPAN style="FONT: 7pt 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></FONT></SPAN></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"><FONT size=3>做事时常丢三落四</FONT></SPAN></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 27pt; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 36.0pt; tab-stops: list 45.0pt; mso-list: l0 level1 lfo1"><SPAN lang=EN-US style="mso-fareast-font-family: 'Times New Roman'"><SPAN style="mso-list: Ignore"><FONT face="Times New Roman"><FONT size=3>8)</FONT><SPAN style="FONT: 7pt 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></FONT></SPAN></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"><FONT size=3>很容易受外界刺激干扰</FONT></SPAN></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 27pt; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 36.0pt; tab-stops: list 45.0pt; mso-list: l0 level1 lfo1"><SPAN lang=EN-US style="mso-fareast-font-family: 'Times New Roman'"><SPAN style="mso-list: Ignore"><FONT face="Times New Roman"><FONT size=3>9)</FONT><SPAN style="FONT: 7pt 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></FONT></SPAN></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"><FONT size=3>在日常生活中表现爱惹事</FONT></SPAN></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 0cm; mso-para-margin-right: .85gd; tab-stops: list 63.0pt"><SPAN lang=EN-US><o:p><FONT face="Times New Roman" size=3>&nbsp;</FONT></o:p></SPAN></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 0cm; mso-para-margin-right: .85gd; tab-stops: list 63.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">2.</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">权威的多动冲动障碍型（</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">314.01</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">）必须有以下症状中的四个或以上</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 3.43gd; tab-stops: list 126.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">1) </FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">在座位上不停的扭动手，脚或扭动身体</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 3.43gd; tab-stops: list 126.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">2) </FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">在教室中离开座位走动</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 3.43gd; tab-stops: list 126.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">3) </FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">特别爱跑动或攀爬</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 3.43gd; tab-stops: list 126.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">4) </FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">很难安静的玩耍</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 3.43gd; tab-stops: list 126.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">5) </FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">常常抢话或抢着回答问题</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 36pt; TEXT-INDENT: 31.5pt; mso-char-indent-count: 3.0; mso-para-margin-top: 0cm; mso-para-margin-right: .85gd; mso-para-margin-bottom: .0001pt; mso-para-margin-left: 3.43gd; tab-stops: list 126.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">6) </FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">常很难排队等候</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 0cm; mso-para-margin-right: .85gd; tab-stops: list 63.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">3.</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">联合型（</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">314.01</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">）：既有注意缺陷又有冲动多动障碍</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 0cm; mso-para-margin-right: .85gd"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">4.DHD</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">中的未经分类型（</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">314.9</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">）</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 0cm; mso-para-margin-right: .85gd; tab-stops: list 21.0pt"><SPAN lang=EN-US><o:p><FONT face="Times New Roman" size=3>&nbsp;</FONT></o:p></SPAN></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 0cm; mso-para-margin-right: .85gd; tab-stops: list 21.0pt"><FONT size=3><B><SPAN lang=EN-US><FONT face="Times New Roman">B. </FONT></SPAN></B><B><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">诊断</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">ADHD</FONT></SPAN></B><B><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">所必需的标准：</SPAN><SPAN lang=EN-US><o:p></o:p></SPAN></B></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 0cm; TEXT-INDENT: 21pt; mso-char-indent-count: 2.0; mso-para-margin-right: .85gd; tab-stops: list 189.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">1.</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">发病在</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">7</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">岁或</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">7</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">岁以前</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 0cm; TEXT-INDENT: 21pt; mso-char-indent-count: 2.0; mso-para-margin-right: .85gd; tab-stops: list 84.0pt 189.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">2.</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">症状必须要在两个或两个以上的环境中表现</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 0cm; TEXT-INDENT: 21pt; mso-char-indent-count: 2.0; mso-para-margin-right: .85gd; tab-stops: list 84.0pt 189.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">3.</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">在社交，学业或职业功能方面有临床上的明确损害</SPAN></FONT></P><P =Ms&#111;normal style="MARGIN: 0cm 8.9pt 0pt 0cm; TEXT-INDENT: 21pt; mso-char-indent-count: 2.0; mso-para-margin-right: .85gd; tab-stops: list 84.0pt 189.0pt"><FONT size=3><SPAN lang=EN-US><FONT face="Times New Roman">4.</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">不排除广泛性发育障碍（</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">Pervasive Developmental Disorder</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">），精神分裂症，或其它心理紊乱的一些症状，但最好不要用情绪障碍，焦虑，人格障碍，社交障碍来解释</SPAN></FONT></P>]]>
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   <pubDate>Tue, 12 Dec 2006 10:02:24 +0000</pubDate>
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