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Attention deficit hyperactivity disorder

Korean Journal of Pediatrics 2008;51(9):935-943.
Published online September 15, 2008.
Attention deficit hyperactivity disorder
So-Hee Eun, Baik-Lin Eun
Department of Pediatrics, Korea University College of Medicine, Seoul, Korea
주의력결핍 과잉행동장애
은소희, 은백린
고려대학교 의과대학 소아과학교실
Baik-Lin Eun, Email: bleun@korea.ac.kr
Attention deficit hyperactivity disorder (ADHD) is a neurobehavioral developmental disorder characterized by a persistent pattern of inattention and/or hyperactivity, as well as forgetfulness, poor impulse control or impulsivity, and distractibility. The recommended evaluation includes documenting the type and severity of ADHD symptoms, verifying the presence of normal vision and hearing, screening for comorbid psychological conditions, reviewing the child`s developmental history and school performance, and applying objective measures of cognitive function. Prevailing opinion characterizes ADHD as a disorder of executive function attributable to abnormal dopamine transmission in the frontal lobes and frontostriatal circuitry. A clearly defined etiology remains unknown, but studies suggest a strong genetic link. The aim of treatment is to decrease symptoms, enhance functionality, and improve well-being for the child and his or her close contacts. Stimulants remain the pharmacological agents of first choice for the management of ADHD, and psychosocial, behavioral and educational strategies that enhance specific behaviors may improve educational and social functioning in children with ADHD.
Key Words: Attention deficit hyperactivity disorder, Child, Review

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