关键词: 注意缺陷多动障碍, 依从性, 药物治疗

Abstract: 【Objective】 To study the compliance of attention deficient hyperactivity disorder(ADHD) patients on methylphenidate(MPH) and its possible influencing factors. 【Methods】 All patients diagnosed as ADHD in psychological counseling clinic of Children's Hospital of Fudan University during Jan 1999 to Jan 2007, and should be prescribed MPH at first time were enrolled. A self-designed questionnaire was administered by telephone. 【Results】 There were 325 ADHD patients in 8 years. 204 patients were successfully followed, 84.31% patients accepted MPH therapy, 71.52% in the MPH therapy group adhered to the medicine for more than 6 months. Only 28.4% of the whole studied population had good compliance. The main cause for families to refuse or stop MPH therapy was afraid of the side effects of medicine. The form of medicine and whether accompanied with parents education/group therapy had relation with MPH compliance. 【Conclusion】 The compliance of medicine therapy in ADHD families is low, and long-acting form and parents or group intervention will like to improve compliance.

Key words: attention deficient hyperactivity disorder, compliance, medicine therapy