儿童注意缺陷多动障碍共患对立违抗障碍研究进展

曾浩德; 王烨妍; 庞伟; 王景刚

doi:10.11852/zgetbjzz2025-1467

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中国儿童保健杂志 ›› 2026, Vol. 34 ›› Issue (9) : 1051-1056. DOI: 10.11852/zgetbjzz2025-1467

综述

儿童注意缺陷多动障碍共患对立违抗障碍研究进展

曾浩德^1,2, 王烨妍^1,2, 庞伟^1,2, 王景刚³

作者信息 +

Advances in attention-deficit/hyperactivity disorder comorbid with oppositional defiant disorder in children

ZENG Haode^1,2, WANG Yeyan^1,2, PANG Wei^1,2, WANG Jinggang³

Author information +

文章历史 +

摘要

注意缺陷多动障碍(ADHD)是一种以注意力不集中、多动和冲动为核心症状的神经发育障碍。对立违抗障碍(ODD)是以持续性的易怒情绪、争论反抗行为以及报复心理为临床特征的破坏性行为障碍,ODD是儿童ADHD常见共患病之一,当两者共病时,患儿临床表现更为复杂,治疗难度也相应增加。尽早准确识别儿童ADHD是否共患ODD,有助于对患儿及时实施个性化的干预措施,从而减少共患病给患儿带来的危害。本文阐述ADHD共患ODD的流行病学、发病原因、临床特征及干预措施,探索更有效的干预策略以提高患儿的生活质量和社会功能。

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity.Oppositional defiant disorder (ODD), characterized by a persistent pattern of angry/irritable mood, argumentative/defiant behavior, and vindictiveness, is one of the most prevalent comorbidities in children with ADHD.The co-occurrence of these disorders significantly exacerbates clinical presentations and complicates therapeutic interventions.Early and accurate identification of comorbid ODD in children with ADHD is crucial, as it facilitates the timely implementation of personalized interventions and mitigates the adverse outcomes associated with this comorbidity.This review comprehensively delineates the epidemiology, etiology, clinical characteristics, and intervention strategies for ADHD comorbid with ODD, exploring more effective approaches to improve the quality of life and psychosocial functioning of affected children.

导出引用

曾浩德, 王烨妍, 庞伟, 王景刚. 儿童注意缺陷多动障碍共患对立违抗障碍研究进展[J]. 中国儿童保健杂志. 2026, 34(9): 1051-1056 https://doi.org/10.11852/zgetbjzz2025-1467

ZENG Haode, WANG Yeyan, PANG Wei, WANG Jinggang. Advances in attention-deficit/hyperactivity disorder comorbid with oppositional defiant disorder in children[J]. Chinese Journal of Child Health Care. 2026, 34(9): 1051-1056 https://doi.org/10.11852/zgetbjzz2025-1467

中图分类号： R729.94

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