E N D
1. ????? ??? ?????? ???????-??? (ADHD) ?????? ???? ??? ??? ???
?????? ??????????? ?? ????
???? ????? ????-???
2. ????? ??? ?????? ???????-??? (ADHD) ??????? ??????
??? ??? ???? ?????
???????????? (??????)
??????-???
3. ????? ??? ?????? ???????-??? (ADHD) ?????? ???? ??? ???? ???? ???? ????
??-??? ??????
??????, ???? ?????
???? ????? ?????
??? ????? ????
?????
4. ????? ??? ?????? ???????-??? (ADHD) ?????? ???? ?? ??? ??????? ???? ????? ???????
??? ?????? ?????? ???????
??? ????? ??????? ????? ??? ?????? ???????-????
5. ????? ??? ?????? ???????-??? ?????? ???? ??? ???? ?????
?????? ????????
????? ????
?????-????????
??????? ??????????
????? ???????
?????
6. ?????, ?? 5 ??????? ?????????? ?????
???? 2 ???, ??? ?”???? ??? ???”
?????, ?? ???? ?????? ?????, ???? ???? ????
????? ?????-?????????
??-????? ???????
??????? ????????? ?????
????? ???????
7. ?????, ?? 5 ??????:
?
??????:
????? ??????, ????? ?????? ?????? ???
????:
????? ??? ????? ?’
???? ???? ???? ????? ???????
????? ?', ????? ?? ADHD ?????? ???????
8. ????, ?? 3 ????? ?????? ????
????? ????? ??????
????? ?? ???????? ????
????? ????? ??????
??? ????? ????
????? ???? ??????
????? ?????-?????????: ?????
9. ????, ?? 3 ????? ?????-??????????
IQ : ????? ??????
?????? ???-??????
???????:
???? ????? ?????? ???? ??????
????? ?? ????? ?????? ???????
??????, ?? ???? ????? ??????
10. ????, ?? 3 ?????:
????? ?????? ????? ???
??”? ????? ??????
????? ????? ??????? ??????
????? ??????
????? ?????? ????????? ????
????? ??????? ?????
?????: ?
11. ????, ?? 4 ???????? ??????: ?????
???? 3: ?????? ????
????? ?????-?????????: ?????
?????:
????? ??????
????? ???? ?????
12. ????, ?? 4 ???? ??????:
???? ?????, ?????? ???
????????? ???, ???? ????? ????, ??????? ??????
????? ????? ????
????? ?????-??????????:
IQ ??? ??????, ???? ???, ?????? ??????, ???? ?????? ??????
13. ???? ?? 4 ?????: ADHD
?????:
????? ?????? ??????*
???? ??? ??????
10 ?????? ????? ????: ????? ?????? (??????)
*????? ?? ADHD ?????? ???? ????? ???????? ????? ???? ??????
Sanuga-Barke, J Am Acad Child Adolesc Psychiatry 41:696, 2002
14. ????, ?? 6 ???????? ??????: ?????
???? 3: ????-??????, ??????, ?????
?????? ???? ?????? ????? ?????? ?????
????? ?????-?????????: ?????
????? ?????-??????????: IQ ????, ????? ????, ?? ????? ????, ??????? ????-?????, ??????? ????-???????? ??????
TOVA: -3.34
15. Test of Variables of Attention T.O.V.A.
16. ????, ?? 6 ????? ?????
??????:
????? ??????
?????
????? ??????
????? 6 ??????
??????? ???? ?????: ????? ??????
????? ?????? ???????: ????!
?????: ADHD
17. ??? ??????????? ?????? ?? ADHD ????? ?????? ??? ? ??????:
126 ????? ???? 6-4 ?’ ?? ADHD ?”? DSM-IV
126 ????? ?????? ??????
??????:
???? ????? ???????
???? ??????? ???????
?????? ???? ??????? ????????
??? ???? ????? ???? ???????
?????: ??????????? ? - ADHD ?????? ???? ?? ????? Lahey et al, 1998
18. ????? ??? ?????? ???????-??? ?????? ???? ??? ???? ????? ?????????? ???? 5 ????
????? ??? 3-4 ???? ??????:
???? ?????
?????? ???
????? ?????
?????? 5 ???? ????? ????:
ADHD, ???? ?????-????-ODD, ?/?? ????? ???????-CD ? - %48
(????? % 16 ?????? ??????? ) Cambell et al, 1996
19. ????? ??? ?????? ???????-??? ?????? ???? ??? ???? ????? ?????????? ???? 11 ????
87 ????? ??????? (?? IQ ?- SES ??????)
??????? ??????? ?? ?????
?????? ???, ??????
????? ???????
?????:
????? ???? ???? ??????? DSM-IV
Lerner et al, 1985
20. ???? ??? ???: ?????? ?????????? ?-ADHD ??? ?????? ??????: 26%
???? ????? ?????-ODD: 62%
?????: 77%
???? ?????? ?????? ?-ADHD: 1.4
??? (?????) ????? ??????: 2.2±1.3 ????
Wilens et al, J Am Acad Child Adolesc Psychiatry 41:3, 2002
21. ????? ??? ?????? ???????-??? ?????? ???? ??? ????? ?????????
???? ????? ??? ???? ?’ N=174
????? ??? ?????? N= 70 (40%)
????? ??? ??????? 14 =N (8%)
????? ?????: ???? ??????, ????, ???????
?????? ?????: ?????, ?????? ???????, IQ ????, ??????? ???????? ??????? ????? ????
Palfrey, 1985
22. ????? ??? ?????? ???????-??? ?????? ???? ??? ??????
????? 2.4%-4.0 ????:???? 6:1
???? 8% ????:???? 9:1
23. ????? ??? ?????? ???????-??? ?????? ???? ??? ????? ?????? ??????
30 ???-????? ?????
835 ?????
28 ????? ?? ADHD
???????: 3% ????:???? 2.5:1
????? MA: ?. ???? ???' ? ?????
24. ????? ?????? ? ADHD ??? ????
??? ???? ????? + ????? ??????? = ADHD
25. ?????-???????? ?? ADHD ?????? ????? (??????????) ????: Frontal-Striatal ?????
?????? ????-??????? ?????? ????? ???? ???? ??????? ???????
?????? ?????
??????
????????????????-???????:
Alpha-2a-adrenoceptors
Dopaminergic D1 receptors
Amsten, J Pediatr 154;I-S43, 2009
26. ????? ?????? ?? ?????? ????? ??? ??????
27. ?? ??????? ???????? ????? ? ADHD?
????? ?????? ????? ??? ??? ???? ??????? ??????? ????
Alpha-2a-adrenoceptors
Dopaminergic D1 receptors
28. ??????? PET ? SPECT ????? ?????? ????? ??????? ????????????????? ?????? ?? ADHD
Ernst et al, Am J Psychiatry 1999
Jucaite et al, Biol Psychiatry 2005
29. ????? ??? ?????? ???????-??? ?????? ???? ??? ????????? ???????
??? ???/??-?????: ???? ????? ???????, ???????
????? ???? ???????
????????
????? ????????:
?????? ?- X ????? ????”?
?????? (?????????)
???? ???
?????? ??????????
?????? ????
30. ???? ??? ??? ?????? ??? ????? ????? ?????? ??:
?????? ???????????
????????
????????
Bijur et al, 1990
31. ???? ??? ?????? ????: ADHD ??? ??? ???? ? - 20% ??????? ?? ???? ??? ??????? ?? ???
??????: ADHD ????? ???? ????? ????? ???? ?????? (??? ?????) ????, ?????? ??? ???? Gerring, 1998
32. ????? ??? ?????? ???????-??? ?????? ???? ??? ?????? ??? ??????????
???”? ?? ??? ???, ???????
??????: 42 ????? ?? ????? ???
42 ????? ?????? (????? ??????)
??????: ADHD ???? ? – 26% ??????? ?? ????? ??? (????? 6% ?????? ???????)
Manor et al, 2001
33. ???? ?????? ???? ??? ?? ADHD ?????? ????: ????? ???????
?????? ?????? ????? ?????
?????? ?? ??? ?????
?????? ??????
?????? ?????? ???? ?????
??????? ???????
?????…. ?????????????: ????!
34. ???? ?????? ???? ??? ?? ADHD ??????? ???? ???? ????? ????
???? ????? ????? ????
???? ????? ????? ?”? ?????? ??????
Kaplan et al, 1988
?????? ???? ????? ?? ????? ?????? ???? ??”? Tirosh et al, 1993
35. ????? ??? ?????? ???????-??? ?????? ???? ??? ???? ??????? ??-??????
??????
??????????
???????
????????
36. ????? ??? ?????? ???????-??? ?????? ???? ??? ?????
????? ?????-?????????
?????? ???????:
????? ?”? ????? Conners))
Childhood Behavioral Checklist (CBCL)
????? ?????-??????????
(TOVA) Continuous Performance Tasks
37. ????? ??? ?????? ???????-??? ?????? ???? ??? ?????
????? ???????
??????? ????? ???
?????? ?????? ???
????? ?????-????????
???? ?????? ???????
????? ????????
???????
38. ????? ??? ?????? ???????-??? ?????? ???? ??? ?????
????? ?????? ?????? ???? ???? ????? ????????
????? ?????? ?????? ????? ???
????? ???? ?????? ?????? ??????????? ?? ????
??????? ???????
????? ???????
????? ??????
39. ?????? ???? ????? ?? ???? ??? ???????: 303 ????? ???? 3-5.5 ????
?????: ?????? 3 ????? ???? (2.5-7.5 ?? ????)
??????:
?????? ???? ?????? ????????? ?-ADHD
????? ?????
Greenhill et al, J Am Acad Child Adolesc Psychiatry, 2006
40. ????? ?????? ?-ADHD ?????? ??? 5 ?????? ??????? ???? ????? ?????? ?????-??????????? ?- 144 ????? ?????? 3-6 ????
???”?, ????? ????? ??????:
???? ??-???
????????? ?????? ???
?????? ?????? ??????? ?????? ????-???? ????? ???? ????????? ????
Reviewed by Spencer, Biederman, Wilens, 1997
41. ????? ?????? ?????? ?-ADHD ?????? ???: ???? ?????? 233 ????? ???????:
???? ????: N=10
??? ?? ??????: N=50
?????? ?? ????: N=173
????? ?????: 15 ????
Rappley et al, 1999
42. ????? ?????? ?????? ?-ADHD ?????? ???: ???? ?????? ??????:
27% ???? ????? ?????????
57% ???? ????? ??????:
22 ?????? ?????
60 ????? ???? 2-3 ??????
58 ????? 2-6 ??????
?????? ?????????: ??????? ??????? ?????
Rappley et al, 1999
43. ????? ?-ADHD ???? ??????? ?????? ?????? ?? ADHD ???? ????
????? ?? ?????? ???? 1967-2007
??????:
?????? ??????: ?????? (?????????)
?????? ???? ?????: ????? ?????, ????? ????, ??????
Ghuman et al, J Child Adolesc Psychopharmacol 18:413, 2008
44. ADHD ???? ???: ????? ???? ???? ?????? ????? ?????? ??? ??????? ????? ??????, ????? ????? ? - ADHD
?????? ?? ADHD ???? ???? ???? ????? ?????? ?? ??? ?????? ??-??????
?????? ??????? ???? ???? ???????? ????? ???????
45. ????? ??? ?????? ???????-??? (ADHD) ?????? ???? ??? ?????? ??????
???? ?????? ??????
???? ??????? ?????? ????
“??????? ???” ??? ?????? ???????
???? ?????? ??????? ???????
?????? ?????
????? ????? ???????? ?????? ?? ??? ????
Alessandri et al, 1992; Lorch et al, 1999
46. ADHD ??????? ?? ????? ??????
47. ?????? ????? ?????? ????? ????? ????? ???
??????? ??????? ?????? ????????? ????? ??????
???? ?????
????? ????? ????? ?? ?????? ??????
????? ?????? ????? ?????? ???????
48. ??????? ????? ????: MRI
49. ??????? ????? ????: MRILazar et al, Neuroreport 17:1893-7 2005 20 ??????? ?????? ???????? (9 ????; 6????/????)
????? ???? ????? ??? ???? ???????
????? ????-??????? ????? (p=1.8x10-5)
????? ????????? ????? (p=1.2X10-5)
??? ???????? ??? ?????? ????, ?? ??????? ??? ??? ????
?????? ??????? ?????? ?????? ???????? (?? ????) ????? ??????? (p=.001), ??? ?? ?????? ??????? (p=.83)
51. ????? ????, ?' ???? ?? ????... ?? ?? ??? ???? ????? ?? ???? ?? ???? ??????: ???? ?? ?????? ?"?
????????: ??? ??????
????? ?????: 6 ?????? ????? ?????? ??????? ????? ???? ??????-???
????? ???????: 6 ?????? ???????? ?? ???? ??? ???? ???????? ???????????
52. ????? ??????? ??????? ???????? ???? ???? ????? ?????? ?"?, ?????? ??????? ?????? ?????? ????? ?:
????? ???? ????-????????
?????-??????
?????-???????
????? ???? ?????????
53. ?????? ???????
?????? ????? ?????? ?? ?????? ?????? ????, ??? ???????? ?? ??????, ???? ????? ?????????
?????? ?? ?????? ????? - ?????? ??????????.
????? ??? ?????? ???? ???? ????? ????????? ?????? ??????? ?? ?????? ?????? ??????????
Azari et al, Eur J Neuroscience, 13:1649-52, 2001
54. ?????? ????? ?????? ????? ????? ????? ???
??????? ??????? ?????? ????????? ????? ??????
???? ?????
????? ??????? ????? ?? ?????? ??????
????? ?????? ????? ?????? ???????
55. ???? ????? ??? ???? ?????? ???? ?????? ?? ADHD?
??? ?? ??? ?????? ????? ??????? ??????? ?? ??????
56. ???? ????? ???????? ?? ADHD:
??? ???? ?????? ?????? ???? ??????
???? ??-??? ?????? (????-????????) ???? ??????
?????? ???? ??????? ?????? ??????
57. ?????????? ???? ????? ?????
???? ?????? ??? 261 ??????? ?????? ?'-?' ???????? ????? ???????? ????????
???? ?????? ??? 53 ??????? ?????? ????? ????? ?? ADHD
58. ?????? ????? ????? ??? ????? ????? ???? ????? ADHD p
????? 2.84 2.45 0.005
?????? ??? 1.11 1.55 0.005
??????? 2.81 2.37 0.005
59. ????? ?? ?? ??????? "????? ??? ????? ????? ?????. ???? ??? ???????
????? ?? ??? ??????? ???? ???? ???? ????? ??? ???? ???? ??????"
????"?