{"id":3378,"date":"2024-09-24T11:28:31","date_gmt":"2024-09-24T11:28:31","guid":{"rendered":"https:\/\/psicologiainfantilmallorca.com\/catala\/?p=3378"},"modified":"2024-09-24T11:28:32","modified_gmt":"2024-09-24T11:28:32","slug":"tdah-en-nens","status":"publish","type":"post","link":"https:\/\/psicologiainfantilmallorca.com\/catala\/tdah-en-nens\/","title":{"rendered":"TDAH en nens"},"content":{"rendered":"\n

Qu\u00e8 \u00e9s el Trastorn per D\u00e8ficit d\u2019Atenci\u00f3 i Hiperactivitat (TDAH)?<\/strong><\/h2>\n\n\n\n

El Trastorn per d\u00e8ficit d\u2019atenci\u00f3 i hiperactivitat (TDAH) \u00e9s un trastorn<\/strong> del<\/strong> neurodesenvolupament<\/strong> que es caracteritza per dificultats d\u2019atenci\u00f3, hiperactivitat i impulsivitat. Afecta al desenvolupament i funcionament de diferents \u00e0rees cerebrals i persisteix al llarg de tota la vida.<\/p>\n\n\n\n

Qu\u00e8 entenem per trastorns del neurodesenvolupament?<\/strong><\/h3>\n\n\n\n

Els trastorns del neurodesenvolupament s\u00f3n un conjunt de dificultats cognitives i conductuals que tenen el seu origen en la primera inf\u00e0ncia o durant el proc\u00e9s de desenvolupament i afectaran els diferents processos d\u2019adaptaci\u00f3, desenvolupament cognitiu i conductual, en el que l\u2019activitat del nen es veur\u00e0 alterada o limitada respecte al que seria esperable a la seva edat cronol\u00f2gica o desenvolupament intel\u00b7lectual.<\/p>\n\n\n\n

Diagn\u00f2stic del TDAH<\/strong><\/h2>\n\n\n\n

El TDAH \u00e9s un trastorn complex, que requereix un correcte diagn\u00f2stic i una adequada intervenci\u00f3. T\u00e9 una alta comorbiditat, aix\u00f2 significa que \u00e9s freq\u00fcent que es presenti juntament amb altres trastorns com els trastorns d\u2019aprenentatge<\/strong>, de conducta<\/strong>, autisme<\/u><\/strong> o trastorns afectius<\/strong> entre altres.<\/p>\n\n\n\n

Actualment, comptem amb dos sistemes de classificaci\u00f3, el DSM-5<\/strong> (Manual estad\u00edstic dels trastorns mentals, 5a edici\u00f3, publicat per l\u2019Associaci\u00f3 Americana de Psiquiatria, APA) que \u00e9s el m\u00e9s utilitzat, i d\u2019altra banda, la CIE-10 (Classificaci\u00f3 Internacional de Malalties Mentals de l\u2019OMS).<\/p>\n\n\n\n

Segons, el DSM-5, el TDAH s\u2019inclou dins dels trastorns del neurodesenvolupament i engloba un conjunt de s\u00edmptomes que han de ser presents per a arribar al diagn\u00f2stic.<\/p>\n\n\n

\n
\"S\u00edmptomes<\/a><\/figure><\/div>\n\n\n

Quins s\u00f3n els principals s\u00edmptomes?<\/strong><\/h2>\n\n\n\n

Els principals s\u00edmptomes que ens trobem, s\u00f3n d\u2019inatenci\u00f3, desorganitzaci\u00f3 i\/o impulsivitat\/hiperactivitat que es presenten de manera excessiva a l\u2019edat o nivell de desenvolupament cognitiu.<\/strong><\/p>\n\n\n\n

La inatenci\u00f3, impulsivitat o hiperactivitat ha de comportar un problema per a poder parlar d\u2019un trastorn. Si no comporta un problema o una deterioraci\u00f3 en el seu funcionament escolar, social o familiar no podr\u00edem parlar que \u00e9s un trastorn.<\/p>\n\n\n\n

Actualment es reconeixen tres presentacions cl\u00edniques<\/strong> segons la pres\u00e8ncia o abs\u00e8ncia de determinats s\u00edmptomes particulars, de manera que ens trobem amb tres subtipus cl\u00ednics, segons el DSM-5:<\/p>\n\n\n\n

– Combinat<\/strong>: Es donen criteris d\u2019inatenci\u00f3 i hiperactivitat\/impulsivitat.<\/p>\n\n\n\n

– Presentaci\u00f3 predominant de falta<\/strong> d\u2019atenci\u00f3<\/strong>: Es compleixen els criteris d\u2019inatenci\u00f3 per\u00f2 no d\u2019hiperactivitat\/impulsivitat.<\/p>\n\n\n\n

– Presentaci\u00f3 predominant hiperactiva-impulsiva<\/strong>: S\u00ed es compleixen criteris d\u2019hiperactivitat-impulsivitat per\u00f2 no d\u2019inatenci\u00f3.<\/p>\n\n\n\n

– D\u00e8ficit d\u2019atenci\u00f3<\/strong>: Segons el DSM-5, en nens de m\u00e9s de 6 anys s\u2019han de complir 6 o m\u00e9s dels seg\u00fcents s\u00edmptomes, i en majors de 16 anys serien necessaris complir 5 o m\u00e9s criteris:<\/p>\n\n\n

\n
\"D\u00e8ficit<\/a><\/figure><\/div>\n\n\n

\u2022 No para esment suficient als detalls o incorre en errors per distracci\u00f3 en les tasques escolars, en el treball o en altres activitats.<\/p>\n\n\n\n

\u2022 T\u00e9 dificultat per a mantenir l\u2019atenci\u00f3 en activitats l\u00fadiques i acad\u00e8miques, passen r\u00e0pid d\u2019una activitat a una altra.<\/p>\n\n\n\n

\u2022 Sembla no escoltar quan se li parla directament.<\/p>\n\n\n\n

\u2022 No segueix instruccions i no finalitza tasques escolars, enc\u00e0rrecs o obligacions.<\/p>\n\n\n\n

\u2022 T\u00e9 dificultats per a organitzar tasques o activitats.<\/p>\n\n\n\n

\u2022 Evita tasques que requereixen esfor\u00e7 mental sostingut.<\/p>\n\n\n\n

\u2022 Perd objectes necessaris per a tasques o activitats, \u00e9s oblidad\u00eds.<\/p>\n\n\n\n

\u2022 Es distreu f\u00e0cilment amb est\u00edmuls irrellevants, li costa mantenir l\u2019atenci\u00f3 en les tasques.<\/p>\n\n\n\n

\u2022 \u00c9s descurat en les activitats di\u00e0ries.<\/p>\n\n\n

\n
\"Hiperactivitat<\/a><\/figure><\/div>\n\n\n

– Hiperactivitat i Impulsivitat<\/strong>: Perqu\u00e8 es compleixi la simptomatologia d\u2019hiperactivitat o Impulsivitat han de ser presents 6 o m\u00e9s dels seg\u00fcents s\u00edmptomes; i en l\u2019edat adulta o adolescent (a partir dels 16 anys) 5 o m\u00e9s:<\/p>\n\n\n\n

\u2022 Mou en exc\u00e9s mans o peus o es remou del seient.<\/p>\n\n\n\n

\u2022 S\u2019aixeca en situacions en les quals s\u2019espera que romangui assegut (fent deures, menjant, mirant la tele, etc.).<\/p>\n\n\n\n

\u2022 Corre i salta en situacions inapropiades per a fer-ho, inquietud motriu.<\/p>\n\n\n\n

\u2022 T\u00e9 dificultats per a jugar o participar en activitats d\u2019oci de manera tranquil\u00b7la, \u201cest\u00e0 en marxa\u201d com si tingu\u00e9s un \u201cmotor\u201d.<\/p>\n\n\n\n

\u2022 Parla en exc\u00e9s.<\/p>\n\n\n\n

\u2022 Es precipita en la resposta abans que acabin la pregunta.<\/p>\n\n\n\n

\u2022 T\u00e9 dificultats per a guardar torn, no pot inhibir la resposta.<\/p>\n\n\n\n

\u2022 Interromp o s\u2019immisceix en les activitats d\u2019uns altres.<\/p>\n\n\n\n

Els s\u00edmptomes afecten cada persona en diferent grau<\/strong>, en el DSM-5 es contemplen tres nivells de gravetat: lleu<\/strong>, moderat<\/strong> o sever<\/strong>.<\/p>\n\n\n\n

Tots aquests s\u00edmptomes han de ser presents abans dels 12 anys i han de donar-se en dos o m\u00e9s ambients (exemple: treball, casa, amb els amics, activitats extraescolars, etc.), a m\u00e9s aquestes dificultats han d\u2019interferir clarament en el funcionament de la persona.<\/p>\n\n\n\n

Causes del TDAH i prevalen\u00e7a<\/strong><\/h2>\n\n\n\n

\u00c9s un trastorn d\u2019origen neurobiol\u00f2gic amb una alta heretabilitat. En les causes, influiran factors gen\u00e8tics i ambientals, produint-se alteracions qualitatives i quantitatives en el proc\u00e9s de maduraci\u00f3 cerebral afectant tant nivell de neuroqu\u00edmica cerebral (alteraci\u00f3 de neurotransmissors, principalment dopamina i noradrenalina) com a nivell estructural, disminuint el volum cerebral.<\/p>\n\n\n\n

Ens trobem amb una alta prevalen\u00e7a, aproximadament d\u2019un 3-7% de la poblaci\u00f3 en edat escolar i d\u2019un 4% en adults.<\/p>\n\n\n

\n
\"Tractament<\/a><\/figure><\/div>\n\n\n

Tractament del TDAH en nens<\/strong><\/h2>\n\n\n\n

Hem de tenir en compte, que el TDAH \u00e9s un trastorn de dif\u00edcil maneig, per la qual cosa es requerir\u00e0 d\u2019una intervenci\u00f3 multimodal i espec\u00edfica.<\/p>\n\n\n\n

L\u2019objectiu de la intervenci\u00f3, no \u00e9s que desapareguin els s\u00edmptomes, sin\u00f3 adaptar-se al trastorn i aconseguir una bona adaptaci\u00f3 familiar, acad\u00e8mica i social.<\/p>\n\n\n\n

El tractament d\u2019elecci\u00f3<\/strong> ha de ser multimodal<\/strong>, les dues intervencions principals s\u00f3n la farmacol\u00f2gica i la psicosocial, encara que cal tenir present que la medicaci\u00f3 no sempre ser\u00e0 una opci\u00f3 viable. El tractament psicol\u00f2gic<\/strong> que compta amb m\u00e9s evid\u00e8ncia actualment, \u00e9s la ter\u00e0pia<\/strong> cognitiu-conductual<\/strong>. En l\u2019etapa escolar, ser\u00e0 fonamental incloure l\u2019entrenament a pares<\/strong> per a millorar la conducta i les manifestacions cl\u00edniques, i aconseguir un bon maneig de les dificultats.<\/p>\n\n\n\n

Si \u00e9s un TDAH lleu, es recomana comen\u00e7ar per una intervenci\u00f3 no farmacol\u00f2gica, prioritzant el tractament psicol\u00f2gic, i en el cas que aquest no funcioni s\u2019hauria de valorar la necessitat d\u2019incloure un tractament farmacol\u00f2gic.<\/p>\n\n\n\n

En els casos de TDAH moderat-greu es recomana el tractament combinat farmacol\u00f2gic juntament amb la intervenci\u00f3 psicol\u00f2gica amb Ter\u00e0pia Cognitiu-Conductual.<\/p>\n\n\n\n

En l\u2019edat adulta, s\u2019optaria per una intervenci\u00f3 Cognitiu-Conductual, directament amb la persona.<\/p>\n\n\n\n

Un abordatge preco\u00e7 i una adequada intervenci\u00f3 ajudar\u00e0 a una bona evoluci\u00f3 del trastorn i a superar les dificultats que es vagin trobant al llarg de la seva vida.<\/p>\n\n\n\n

M\u00f3nica Arca P\u00e9rez
Psic\u00f2loga General Sanit\u00e0ria
N\u00ba Col.: B-02760<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Qu\u00e8 \u00e9s el Trastorn per D\u00e8ficit d\u2019Atenci\u00f3 i Hiperactivitat (TDAH)? El Trastorn per d\u00e8ficit d\u2019atenci\u00f3 i hiperactivitat (TDAH) \u00e9s un trastorn del neurodesenvolupament que es caracteritza per dificultats d\u2019atenci\u00f3, hiperactivitat i impulsivitat. Afecta al desenvolupament i funcionament de diferents \u00e0rees cerebrals i persisteix al llarg de tota la vida. Qu\u00e8 entenem per trastorns del neurodesenvolupament?… <\/p>\n","protected":false},"author":1,"featured_media":3379,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[58],"tags":[],"class_list":["post-3378","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-problemespsico"],"yoast_head":"\nTDAH en nens | S\u00edmptomes, causes i tractament<\/title>\n<meta name=\"description\" content=\"El TDAH \u00e9s un trastorn del neurodesenvolupament que es caracteritza per dificultats d\u2019atenci\u00f3, hiperactivitat i impulsivitat.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/psicologiainfantilmallorca.com\/catala\/tdah-en-nens\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" 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