Zusammenfassung
Die Aufmerksamkeitsdefizit-/Hyperaktivitätsstörungen (ADHS) sind die häufigsten psychischen
Erkrankungen im Kindes- und Jugendalter. Bei 30 - 50 % persistiert ADHS im Erwachsenenalter,
wobei insbesondere die Aufmerksamkeitsstörungen bestehen bleiben. Die Symptome der
Aufmerksamkeitsstörung einer ADHS sind meist Beeinträchtigungen durch gestörte exekutive
Funktionen. Schwierigkeiten ergeben sich manchmal in der Abgrenzung des Erwachsenen
ADS/ADHS zu anderen Störungen und in der Erfassung einer komorbide vorliegenden ADS/ADHS.
Der Artikel gibt einen Überblick über die Beeinträchtigungen durch die Aufmerksamkeitsstörung,
das klinische Bild, die Problematik der Diagnostik, die Pharmako- und Psychotherapie
und Komorbidität bei ADHS im Erwachsenenalter.
Abstract
The attention-deficit-/hyperactivity disorders (ADHD) are the most common psychiatric
disorders in children and adolescents. ADHD persists in 30 - 50 % into the adulthood.
Attention problems were found to be more persistent than hyperactivity and impulsivity.
Many of the symptoms classified as ADHD symptoms of inattention are actually symptoms
of executive function impairments. Assessment and differential diagnosis of adult
ADD/ADHD may be difficult, because of a high rate of comorbidity. This article gives
an overview about the impairments caused by attention-deficits, the clinical picture,
the problems of diagnosis, the pharmacotherapy, the psychotherapy and comorbidity
of ADHD in adults.
Key words
Attention-deficit/hyperactivity disorder (ADHD) - adults - executive functions - pharmacotherapy
- cognitive therapy - comorbidity
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Dr. med. Andreas Kordon
Klinik für Psychiatrie und Psychotherapie · Universitätsklinikum Schleswig-Holstein
· Campus Lübeck
Ratzeburger Allee 160
23538 Lübeck
Email: Kordon.a@psychiatry.mu-luebeck.de
