注意力缺失/過動症DSM-5診斷準則

注意力缺失/過動症DSM-5診斷準則. 注意力缺失/過動症(Attention-Deficit/Hyperactivity Disorder) 診斷標準. Diagnostic Criteria. 選單 直接觀看文章 搜尋 搜尋： 注意力缺失/過動症(Attention-Deficit/HyperactivityDisorder)診斷標準 DiagnosticCriteria Apersistentpatternofinattentionand/orhyperactivity-impulsivitythatinterfereswithfunctioningordevelopment,ascharacterizedby(1)and/or(2): Inattention:Six(ormore)ofthefollowingsymptomshavepersistedforatleast6 monthstoadegreethatisinconsistentwithdevelopmentallevelandthatnegativelyimpactsdirectlyonsocialandacademic/occupationalactivities: Note:Thesymptomsarenotsolelyamanifestationofoppositionalbehavior,defiance,hostility,orfailuretounderstandtasksorinstructions.Forolderadolescentsandadults(age17andolder),atleastfivesymptomsarerequired. Oftenfailstogivecloseattentiontodetailsormakescarelessmistakesinschoolwork,atwork,orduringotheractivities(e.g.,overlooksormissesdetails,workisinaccurate). Oftenhasdifficultysustainingattentionintasksorplayactivities(e.g.,hasdifficultyremainingfocusedduringlectures,conversations,orlengthyreading). Oftendoesnotseemtolistenwhenspokentodirectly(e.g.,mindseemselsewhere,evenintheabsenceofanyobviousdistraction). Oftendoesnotfollowthroughoninstructionsandfailstofinishschoolwork,chores,ordutiesintheworkplace(e.g.,startstasksbutquicklylosesfocusandiseasilysidetracked). Oftenhasdifficultyorganizingtasksandactivities(e.g.,difficultymanagingsequentialtasks;difficultykeepingmaterialsandbelongingsinorder;messy,disorganizedwork;haspoortimemanagement;failstomeetdeadlines). Oftenavoids,dislikes,orisreluctanttoengageintasksthatrequiresustainedmentaleffort(e.g.,schoolworkorhomework;forolderadolescentsandadults,preparingreports,completingforms,reviewinglengthypapers). Oftenlosesthingsnecessaryfortasksoractivities(e.g.,schoolmaterials,pencils,books,tools,wallets,keys,paperwork,eyeglasses,mobiletelephones). Isofteneasilydistractedbyextraneousstimuli(forolderadolescentsandadults,mayincludeunrelatedthoughts). Isoftenforgetfulindailyactivities(e.g.,doingchores,runningerrands;forolderadolescentsandadults,returningcalls,payingbills,keepingappointments). Hyperactivityandimpulsivity:Six(ormore)ofthefollowingsymptomshavepersistedforatleast6monthstoadegreethatisinconsistentwithdevelopmentallevelandthatnegativelyimpactsdirectlyonsocialandacademic/occupationalactivities: Note:Thesymptomsarenotsolelyamanifestationofoppositionalbehavior,defiance,hostility,orafailuretounderstandtasksorinstructions.Forolderadolescentsandadults(age17andolder),atleastfivesymptomsarerequired. Oftenfidgetswithortapshandsorfeetorsquirmsinseat. Oftenleavesseatinsituationswhenremainingseatedisexpected(e.g.,leaveshisorherplaceintheclassroom,intheofficeorotherworkplace,orinothersituationsthatrequireremaininginplace). Oftenrunsaboutorclimbsinsituationswhereitisinappropriate.(Note:Inadolescentsoradults,maybelimitedtofeelingrestless.) Oftenunabletoplayorengageinleisureactivitiesquietly. Isoften“onthego,”actingasif“drivenbyamotor”(e.g.,isunabletobeoruncomfortablebeingstillforextendedtime,asinrestaurants,meetings;maybeexperiencedbyothersasbeingrestlessordifficulttokeepupwith). Oftentalksexcessively. Oftenblurtsoutananswerbeforeaquestionhasbeencompleted(e.g.,completespeople’ssentences;cannotwaitforturninconversation). Oftenhasdifficultywaitinghisorherturn(e.g.,whilewaitinginline). Ofteninterruptsorintrudesonothers(e.g.,buttsintoconversations,games,oractivities;maystartusingotherpeople’sthingswithoutaskingorreceivingpermission;foradolescentsandadults,mayintrudeintoortakeoverwhatothersaredoing). Severalinattentiveorhyperactive-impulsivesymptomswerepresentpriortoage12years. Severalinattentiveorhyperactive-impulsivesymptomsarepresentintwoormoresettings(e.g.,athome,school,orwork;withfriendsorrelatives;inotheractivities). Thereisclearevidencethatthesymptomsinterferewith,orreducethequalityof,social,academic,oroccupationalfunctioning. Thesymptomsdonotoccurexclusivelyduringthecourseofschizophreniaoranotherpsychoticdisorderandarenotbetterexplainedbyanothermentaldisorder(e.g.,mooddisorder,anxietydisorder,dissociativedisorder,personalitydisorder,substanceintoxicationorwithdrawal). Specifywhether: 314.01(F90.2)Combinedpresentation:IfbothCriterionA1(inattention)andCriterionA2(hyperactivity-impulsivity)aremetforthepast6months. 314.00(F90.0)Predominantlyinattentivepresentation:IfCriterionA1(inattention)ismetbutCriterionA2(hyperactivity-impulsivity)isnotmetforthepast6months. 314.01(F90.1)Predominantlyhyperactive/impulsivepresentation:IfCriterionA2(hyperactivity-impulsivity)ismetandCriterionA1(inattention)isnotmetforthepast6months. Specifyif: Inpartialremission:Whenfullcriteriawerepreviouslymet,fewerthanthefullcriteriahavebeenmetforthepast6months,andthesymptomsstillresultinimpairmentinsocial,academic,oroccupationalfunctioning. Specifycurrentseverity: Mild:Few,ifany,symptomsinexcessofthoserequiredtomakethediagnosisarepresent,andsymptomsresultinnomorethanminorimpairmentsinsocialoroccupationalfunctioning. Moderate:Symptomsorfunctionalimpairmentbetween“mild”and“severe”arepresent. Severe:Manysymptomsinexcessofthoserequiredtomakethediagnosis,orseveralsymptomsthatareparticularlysevere,arepresent,orthesymptomsresultinmarkedimpairmentinsocialoroccupationalfunctioning. 分享此文：電子郵件TwitterFacebook請按讚：喜歡正在載入... 關於作者 留佩萱 (pronoun:she/her) 美國諮商教育與督導博士(PhDinCounselorEducation&Supervision)，目前在美國AntiochUniversitySeattle心理諮商研究所(ClinicalMentalHealthCounselingprogram)擔任教職，為美國執業心理諮商師(LicensedProfessionalCounselor,LPC,PA&LicensedMentalHealthCounselor,LMHC,WA),美國國家認證諮商師(NationalCertifiedCounselor,NCC)、EMDR受訓治療師(EMDR-trainedtherapist)、以及認證臨床創傷治療師(CertifiedClinicalTraumaProfessional)。

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