摘要:(ADHD and multimodal intervention). During the year 2003, the National Register of the Attention
deficit hyperactivity disorder (ADHD) has been implemented in Italy. It was commissioned by the Ministry
of Health to the Istituto Superiore di Sanità, which is its leading technical and scientific body, with the aim
to set up a sound database gathering detailed information on the prescription of Ritalin at the national level.
The latter represents the most diffused elective drug treatment for such an early-onset neuropsychiatric syndrome.
To this aim, the more prevalent theories on the pathogenesis of ADHD and the debate on therapy are
reviewed and discussed. This paper is aimed at emphasizing that this kind of systematic data gathering of such
a Register has not to be meant an unconditional approval of a therapeutical approach based on drug therapy
only. Pharmacological therapies may or may not be included within the frame of a multimodal complex treatment
plan which should also rely on psychological intervention.
关键词:ADHD, National Register of ADHD, methylphenidate, multimodal intervention, psychological therapy.