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2008 | OriginalPaper | Hoofdstuk

De ontwikkelingsstoornissen ADHD en autisme in de huisartsenpraktijk

Klinische les: De centrale rol van de huisarts

Auteurs : Wouter Groen, Wilhelmina Leen, Toine Lagro-Janssen, Rutger Jan van der Gaag

Gepubliceerd in: Schatjes zijn het

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

  • De huisarts heeft een centrale rol in het herkennen en verwijzen van kinderen bij wie het vermoeden bestaat op attention deficit hyperactivity disorder (ADHD) of een autismespectrumstoornis (ASS). De diagnose ADHD wordt gebaseerd op de drie hoofdkenmerken hyperactiviteit, impulsiviteit (in denken en doen) en verhoogde afleidbaarheid. Bij ADHD is de heteroanamnese belangrijker dan het eigen onderzoek. Bij drukke kinderen onder de 5 jaar kan men het effect van gedragstherapeutische adviezen afwachten. ASS heeft vier kernsymptomen: een stoornis in de ontwikkeling van wederkerige sociale relaties, een stoornis in verbale en non-verbale communicatie, een stoornis in het verbeeldend vermogen en een beperkt en stereotiep gedragspatroon. Met name kinderen met een autistische stoornis vormen een risico voor het functioneren van het hele gezin. De huisarts heeft een belangrijke rol bij de begeleiding en het inschatten van psychosociale stress in het gezin.
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Metagegevens
Titel
De ontwikkelingsstoornissen ADHD en autisme in de huisartsenpraktijk
Auteurs
Wouter Groen
Wilhelmina Leen
Toine Lagro-Janssen
Rutger Jan van der Gaag
Copyright
2008
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-313-6642-2_23