El TDAH en la etapa preescolarUna revisión narrativa
- Jonatan Molina-Torres 1
- Mireia Orgilés 1
- Mateu Servera 2
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1
Universidad Miguel Hernández de Elche
info
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2
Universitat de les Illes Balears
info
ISSN: 2340-8340
Año de publicación: 2022
Título del ejemplar: Monográfico “Avances en los trastornos del neurodesarrollo en niños y adolescentes"
Volumen: 9
Número: 3
Tipo: Artículo
Otras publicaciones en: Revista de Psicología Clínica con Niños y Adolescentes
Resumen
El Trastorno por Déficit de Atención (TDAH) es un trastorno del neurodesarrollo muy heterogéneo y altamente prevalente en población infanto-juvenil. La detección del TDAH en la etapa preescolar (entre los 3 y 5 años) permitiría intervenir de manera precoz, reducir sus síntomas y modificar el curso del trastorno. El presente estudio tiene como objetivo revisar de manera narrativa el concepto del TDAH en población preescolar, sus características, los instrumentos que permiten su detección y los tratamientos disponibles. Los síntomas clínicos del TDAH en preescolares no son tan frecuentes como se ha pensado tradicionalmente y además presentan una gran validez predictiva, manteniéndose con frecuencia a lo largo de los años. La presentación del TDAH más frecuente en esta etapa es la hiperactiva/impulsiva y las presentaciones con predominancia de inatención aparecen con poca frecuencia. La evaluación del TDAH abarca la detección de psicopatología general que pueda ser comórbida al TDAH o bien que permita un correcto diagnóstico diferencial. Existen escalas de evaluación de síntomas de TDAH que son fiables para la detección clínica del trastorno y deben combinarse con medidas que evalúen posibles dificultades asociadas. Las intervenciones familiares son las más frecuentemente utilizadas, no siendo recomendado el tratamiento farmacológico hasta los 6 años. Sin embargo, los resultados de efectividad de los tratamientos son poco robustos. Es necesaria una intervención preventiva precoz en la etapa preescolar con casos que presenten o estén en riesgo de presentar TDAH y no “sentarse y esperar” si bien se necesita encontrar intervenciones más efectivas.
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