๐Ÿ”’ ื”ืชื—ื‘ืจื• ื›ื“ื™ ืœืขืจื•ืš ืืช ื”ืขืžื•ื“ื”ืชื—ื‘ืจื•ืช
ื”ืžื‘ื•ืš ื”ืงื•ื’ื ื™ื˜ื™ื‘ื™: ืื™ืš ADHD ื”ื•ืคืš ืชื›ื ื•ืŸ ืคืจื™ืฉื” ืœืžืฉื™ืžื” ื›ืžืขื˜ ื‘ืœืชื™ ืืคืฉืจื™ืช | ืงื‘ื•ืฆืช ื’ื•ืœื”
ADHD ื•ื›ืกืฃ ืงืจื™ืื” ~9 ื“ืงื•ืช ยท ืขื•ื“ื›ืŸ 6 ื‘ื™ื•ืœื™ 2026

ื”ืžื‘ื•ืš ื”ืงื•ื’ื ื™ื˜ื™ื‘ื™: ืื™ืš ADHD ื”ื•ืคืš ืชื›ื ื•ืŸ ืคืจื™ืฉื” ืœืžืฉื™ืžื” ื›ืžืขื˜ ื‘ืœืชื™ ืืคืฉืจื™ืช

ื”ืžื‘ื•ืš ื”ืงื•ื’ื ื™ื˜ื™ื‘ื™ ื”ื•ื ืชื•ืคืขื” ืงื•ื’ื ื™ื˜ื™ื‘ื™ืช ืžืชื•ืขื“ืช: ADHD ืžืงืฉื” ื‘ืžื™ื•ื—ื“ ืขืœ ื—ื™ืกื›ื•ืŸ ืคื ืกื™ื•ื ื™. ื–ืื‘ ืกื•ื™ื‘ืœ ืžืกื‘ื™ืจ ืฉืœื•ืฉื” ืžื ื’ื ื•ื ื™ื ื•ืื™ืš ื‘ื•ื ื™ื ืžืกื‘ื™ื‘ื ืชื›ื ื•ืŸ ืฉืขื•ื‘ื“.

ื–ืื‘ ืกื•ื™ื‘ืœ

ื–ืื‘ ืกื•ื™ื‘ืœ

ืกื•ื›ืŸ ื‘ื™ื˜ื•ื— ื•ืžืชื›ื ืŸ ืคื™ื ื ืกื™

ื”ืžื‘ื•ืš ื”ืงื•ื’ื ื™ื˜ื™ื‘ื™: ืื™ืš ADHD ื”ื•ืคืš ืชื›ื ื•ืŸ ืคืจื™ืฉื” ืœืžืฉื™ืžื” ื›ืžืขื˜ ื‘ืœืชื™ ืืคืฉืจื™ืช

ื”ืžื‘ื•ืš ื”ืงื•ื’ื ื™ื˜ื™ื‘ื™ ื”ื•ื ืœื ื‘ื™ื˜ื•ื™ ื’ื™ื ื•ื™, ื–ื• ืชื•ืคืขื” ืงื•ื’ื ื™ื˜ื™ื‘ื™ืช ืžืชื•ืขื“ืช: ื—ื™ืกื›ื•ืŸ ืคื ืกื™ื•ื ื™ ื“ื•ืจืฉ ื‘ื“ื™ื•ืง ืืช ืžื” ืฉืงืฉื” ื‘ื™ื•ืชืจ ืœืžื•ื— ืขื ADHD, ืชื›ื ื•ืŸ ืœืขืฉืจื•ืช ืฉื ื™ื ืงื“ื™ืžื” ื•ื”ืชืžื“ื” ื‘ื™ืจื•ืงืจื˜ื™ืช ืžื•ืœ ืžื›ืชื‘ื™ื ืฉื ื“ื—ื™ื ืฉื•ื‘ ื•ืฉื•ื‘. ืฉืœื•ืฉื” ืžื ื’ื ื•ื ื™ื ืขื•ืžื“ื™ื ืžืื—ื•ืจื™ ื”ืงื•ืฉื™: ื”ื™ื•ื•ืŸ ืžื•ืฉื”ื”, ืฉื’ื•ืจื ืœืงืฆื‘ื” ืขืชื™ื“ื™ืช ืœื”ืจื’ื™ืฉ ื›ืื™ืœื• ืื™ื ื” ืงื™ื™ืžืช ืžื•ืœ ืชื’ืžื•ืœ ืงื˜ืŸ ื•ืžื™ื™ื“ื™ (Amlung et al., 2016); ื–ื™ื›ืจื•ืŸ ืขื‘ื•ื“ื” ืขืžื•ืก, ืฉื”ื•ืคืš ื”ืฉื•ื•ืืช ืžืกืœื•ืœื™ ืคื ืกื™ื” ื•ื“ืžื™ ื ื™ื”ื•ืœ ืœืชืฉื™ืฉื•ืช ื”ื—ืœื˜ื” (Barkley, 1997); ื•ื—ื™ืคื•ืฉ ื“ื•ืคืžื™ืŸ, ืฉืžื•ืชื™ืจ ืืช ื”ืคื ืกื™ื” ืฉืงื•ืคื” ืœื’ืžืจื™ ืžื•ืœ ืงื ื™ื•ืช ืงื˜ื ื•ืช ื•ืžืกืคืงื•ืช. ื”ืชื•ืฆืื” ื‘ืฉื˜ื—: ืงืจื ื•ืช ืคื ืกื™ื” ืžืคื•ื–ืจื•ืช ื‘ื™ืŸ ืžืงื•ืžื•ืช ืขื‘ื•ื“ื” ืฉื”ื•ื—ืœืคื•, ื‘ื™ื˜ื•ื—ื™ื ื›ืคื•ืœื™ื ื•ื ืฉื›ื—ื™ื, ื•ื›ืกืฃ ืฉื ืฉืืจ ืขืœ ื”ืฉื•ืœื—ืŸ ื‘ืœื™ ืฉื ืฉื™ื ืœื‘. ื”ืคืชืจื•ืŸ ืœื ื ืžืฆื ื‘ื›ื•ื— ืจืฆื•ืŸ, ืืœื ื‘ืžื‘ื ื” ื—ื™ืฆื•ื ื™ ืฉืžื—ืœื™ืฃ ืื•ืชื•: ื”ื•ืจืื•ืช ืงื‘ืข, ืื™ืชื•ืจ ื›ืกืคื™ื ืื‘ื•ื“ื™ื ื“ืจืš ื”ืจ ื”ื›ืกืฃ, ืื™ื—ื•ื“ ืงืจื ื•ืช ื‘ืœื™ื•ื•ื™ ืžืงืฆื•ืขื™ ื“ืจืš ื”ืžืกืœืงื” ื”ืคื ืกื™ื•ื ื™ืช, ื•ื•ื™ื–ื•ืืœื™ื–ืฆื™ื” ืฉืœ ื”ืขืฆืžื™ ื”ืขืชื™ื“ื™. ื–ืื‘ ืกื•ื™ื‘ืœ, ืกื•ื›ืŸ ื‘ื™ื˜ื•ื— ื•ืžืชื›ื ืŸ ืคื™ื ื ืกื™ ืขื ADHD ืžืื•ื‘ื—ืŸ, ืžืกื‘ื™ืจ ื›ื™ืฆื“ ืœืคืจื•ืฅ ืืช ื”ืžื‘ื•ืš ื•ืœื‘ื ื•ืช ืชื›ื ื•ืŸ ืคืจื™ืฉื” ืฉืขื•ื‘ื“ ื’ื ื›ืฉื”ื–ื™ื›ืจื•ืŸ ืœื.

3 ืžื ื’ื ื•ื ื™ื ืงื•ื’ื ื™ื˜ื™ื‘ื™ื™ื ืฉื”ื•ืคื›ื™ื ื—ื™ืกื›ื•ืŸ ืคื ืกื™ื•ื ื™ ืœืืชื’ืจ ืืฆืœ ADHD (ื”ื™ื•ื•ืŸ ืžื•ืฉื”ื”, ื–ื™ื›ืจื•ืŸ ืขื‘ื•ื“ื”, ื—ื™ืคื•ืฉ ื“ื•ืคืžื™ืŸ)
2.5%-4.4% ืฉื™ืขื•ืจ ื”ืžื‘ื•ื’ืจื™ื ื”ืขื•ืžื“ื™ื ื‘ืงืจื™ื˜ืจื™ื•ื ื™ื ืœ-ADHD, ื•ืจื‘ื™ื ื ื•ืกืคื™ื ืœื ืžืื•ื‘ื—ื ื™ื (Kessler 2006; Fayyad 2007)
20 ืฉื ื” ื ื™ืกื™ื•ืŸ ื–ืื‘ ืกื•ื™ื‘ืœ ื‘ืชื—ื•ื ื”ืคื ืกื™ื”, ื”ื‘ื™ื˜ื•ื— ื•ื”ืชื›ื ื•ืŸ ื”ืคื™ื ื ืกื™
0 โ‚ช ืขืœื•ืช ืฉื™ื—ืช ื”ื”ื™ื›ืจื•ืช ืขื ื–ืื‘, ืœืœื ื”ืชื—ื™ื™ื‘ื•ืช

ื”ืžืขื˜ืคื” ืžื”ืงืจืŸ ืžื’ื™ืขื”, ื•ื ืฉืืจืช ืกื’ื•ืจื” ืขืœ ื”ืฉื•ืœื—ืŸ ืฉื‘ื•ืขื•ืช. ืœื ืžืชื•ืš ื”ืชืขืœืžื•ืช. ื”ืžื•ื— ื”ืงืฉื‘ื™ ืคืฉื•ื˜ ืœื ืžืฆืœื™ื— ืœืชืจื’ื "ืขื•ื“ 30 ืฉื ื”" ืœืชื—ื•ืฉื” ืืžื™ืชื™ืช ืฉืœ ื“ื—ื™ืคื•ืช. ืฉืœื•ืฉื” ืžื ื’ื ื•ื ื™ื ืงื•ื’ื ื™ื˜ื™ื‘ื™ื™ื ืกืคืฆื™ืคื™ื™ื ื”ื•ืคื›ื™ื ืืช ื”ื—ื™ืกื›ื•ืŸ ื”ืคื ืกื™ื•ื ื™ ืœืžืฉื™ืžื” ืฉื›ืžืขื˜ ืชื•ื›ื ื ื” ื‘ืžื™ื•ื—ื“ ื›ื“ื™ ืœื”ื™ื›ืฉืœ ืืฆืœ ืžื•ื— ืขื ADHD. ื•ื›ืฉืžื‘ื™ื ื™ื ืืช ื”ืžื ื’ื ื•ื ื™ื, ืืคืฉืจ ืœื‘ื ื•ืช ืžืกื‘ื™ื‘ื ืžื‘ื ื” ืฉืขื•ืงืฃ ืื•ืชื.

ืื™ื ืคื•ื’ืจืคื™ืงื”: ื”ืžื‘ื•ืš ื”ืงื•ื’ื ื™ื˜ื™ื‘ื™ ืฉืœ ื ื™ื”ื•ืœ ืคื ืกื™ื” ืขื ADHD
ื”ืžื‘ื•ืš ื”ืงื•ื’ื ื™ื˜ื™ื‘ื™: ืื™ืš ื”ืคืจืขืช ืงืฉื‘ ืžืกื‘ื›ืช ืืช ื ื™ื”ื•ืœ ื”ืคื ืกื™ื”, ื•ืื™ืคื” ืขื•ื‘ืจืช ื”ื“ืจืš ื”ื—ื•ืฆื”.

ืœืžื” ืงืจืŸ ืคื ืกื™ื” ื”ื™ื ื‘ื“ื™ื•ืง ื”ืžืฉื™ืžื” ืฉื”ืžื•ื— ื”ืงืฉื‘ื™ ื”ื›ื™ ืื•ื”ื‘ ืœื“ื—ื•ืช

ื—ื™ืกื›ื•ืŸ ืคื ืกื™ื•ื ื™ ื“ื•ืจืฉ ื‘ื“ื™ื•ืง ืืช ืžื” ืฉืงืฉื” ื‘ื™ื•ืชืจ ืœืžื•ื— ืขื ADHD: ื”ืชืžื“ื” ืขืœ ืคื ื™ ืขืฉืจื•ืช ืฉื ื™ื, ืงื‘ืœืช ื”ื—ืœื˜ื•ืช ืขืœ ืขืชื™ื“ ืจื—ื•ืง, ื•ื”ืชืžื•ื“ื“ื•ืช ืขื ืžืกืžื›ื™ื ื‘ื™ืจื•ืงืจื˜ื™ื™ื ืžืฉืขืžืžื™ื. ื–ื• ืœื ืžืฉื™ืžื” ื˜ื›ื ื™ืช. ื–ื• ืžืฉื™ืžื” ืงื•ื’ื ื™ื˜ื™ื‘ื™ืช, ืฉื ืฉืขื ืช ืขืœ ืชืคืงื•ื“ื™ื ื ื™ื”ื•ืœื™ื™ื, ื‘ื“ื™ื•ืง ื”ืชื—ื•ื ืฉื‘ื• ADHD ืคื•ื’ืขืช ื”ื›ื™ ื—ื–ืง.

ื”ืชืจื—ื™ืฉ ื—ื•ื–ืจ ืขืœ ืขืฆืžื•: ืžื’ื™ืข ืžื›ืชื‘ ืฉื ืชื™ ืžืงืจืŸ ื”ืคื ืกื™ื”, ืื• ื”ื•ื“ืขืช ื“ื•ื"ืœ ืžื—ื‘ืจืช ื”ื‘ื™ื˜ื•ื—. ืคืชื™ื—ืช ื”ืžืขื˜ืคื” ื ืชืคืกืช ื›ืžืฉื™ืžื” ืžืื™ื™ืžืช ื•ืžืฉืขืžืžืช, ื•ื ื“ื—ื™ืช. ื”ืžืขื˜ืคื” ืžืฆื˜ืจืคืช ืœืขืจื™ืžืช ื ื™ื™ืจื•ืช ืื—ืจืช, ื•ื”ื•ืคื›ืช ืœ"ืœื ืงื™ื™ื".

ืื ื‘ื›ืœ ื–ืืช ื ืคืชื—ืช, ืžื—ื›ื” ืฉื ืžื‘ื•ืš ืฉืœ ืžื•ื ื—ื™ื: ื“ืžื™ ื ื™ื”ื•ืœ, ืžืกืœื•ืœ ื”ืฉืงืขื”, ื›ื™ืกื•ื™ ื‘ื™ื˜ื•ื—ื™, ื’ื™ืจืขื•ืŸ ืืงื˜ื•ืืจื™. ื”ืขื•ืžืก ื”ืงื•ื’ื ื™ื˜ื™ื‘ื™ ื’ื“ื•ืœ ืžื“ื™, ื•ื”ืชื•ืฆืื” ื”ื™ื ืฉื™ืชื•ืง. ื”ืœืงื•ื— ื ืฉืืจ ื‘ืžืกืœื•ืœ ื‘ืจื™ืจืช ื”ืžื—ื“ืœ, ืœื ืžืขื“ื›ืŸ ืคืจื˜ื™ื ื›ืฉืžื—ืœื™ืฃ ืžืงื•ื ืขื‘ื•ื“ื”, ื•ืœืคืขืžื™ื ืืคื™ืœื• ืžื•ืฉืš ื›ืกืคื™ ืคื™ืฆื•ื™ื™ื ื›ื“ื™ ืœื›ืกื•ืช ืžื™ื ื•ืก ื‘ื”ื•ื•ื”.

  • ืžื›ืชื‘ ืคื ืกื™ื” ืฉื ืชื™ ื”ื•ืคืš ืœืžืฉื™ืžื” ืžืื™ื™ืžืช ืฉื ื“ื—ื™ืช, ื•ืื– ื ืฉื›ื—ืช ืœื’ืžืจื™
  • ืžื•ื ื—ื™ื ื›ืžื• "ื“ืžื™ ื ื™ื”ื•ืœ" ื•"ืžืกืœื•ืœ ื”ืฉืงืขื”" ื™ื•ืฆืจื™ื ืขื•ืžืก ืงื•ื’ื ื™ื˜ื™ื‘ื™ ืืžื™ืชื™
  • ื”ืชื•ืฆืื”: ื”ื™ืฉืืจื•ืช ื‘ืžืกืœื•ืœ ื‘ืจื™ืจืช ืžื—ื“ืœ, ืœื ืžื˜ืขื ื‘ื—ื™ืจื”, ืžื˜ืขื ื”ื™ืžื ืขื•ืช

ื”ืžื ื’ื ื•ืŸ ื”ืจืืฉื•ืŸ: ื”ื™ื•ื•ืŸ ืžื•ืฉื”ื”, ืœืžื” ืขื•ื“ 40 ืฉื ื” ืžืจื’ื™ืฉ ื›ืžื• ืฉืœื ืงื™ื™ื

ื”ืžื•ื— ืžื‘ืฆืข ื›ืœ ื”ื–ืžืŸ ืขืกืงื” ื‘ื™ืŸ "ืขื›ืฉื™ื•" ืœ"ืื—ืจ ื›ืš", ื•ืืฆืœ ADHD ื”ืขืกืงื” ื”ื–ื• ื ื•ื˜ื” ื‘ื—ื•ื–ืงื” ืœื›ื™ื•ื•ืŸ ื”ื”ื•ื•ื”. ื”ืชื•ืคืขื” ื ืงืจืืช ื‘ืกืคืจื•ืช ื”ืžื—ืงืจื™ืช "ื”ื™ื•ื•ืŸ ืžื•ืฉื”ื”" (delay discounting), ื•ืžื˜ื-ืื ืœื™ื–ื” ืฉื‘ื“ืงื” 21 ืžื—ืงืจื™ื ืžืฆืื” ืฉื”ื™ื ื‘ื•ืœื˜ืช ื™ื•ืชืจ ืžืฉืžืขื•ืชื™ืช ืืฆืœ ADHD (Amlung et al., 2016).

ื‘ืคื•ืขืœ ื–ื” ื ืจืื” ื›ืš: ืงืฆื‘ื” ื‘ืขื•ื“ 40 ืฉื ื” ืžืชื—ืจื” ืžื•ืœ 200 โ‚ช ืฉืืคืฉืจ ืœื‘ื–ื‘ื– ื”ื™ื•ื. ืขื‘ื•ืจ ืžื•ื— ืฉื—ื•ื•ื” "ืขื™ื•ื•ืจื•ืŸ ื–ืžืŸ", ื”ืชื—ืจื•ืช ื”ื–ื• ืœื ื”ื•ื’ื ืช ืžืœื›ืชื—ื™ืœื”. ื”-200 โ‚ช ืžื ืฆื—ื™ื ื›ืžืขื˜ ืชืžื™ื“, ื›ื™ ื”ื ืงื™ื™ืžื™ื, ืžื•ื—ืฉื™ื™ื, ื•ื–ืžื™ื ื™ื ืขื›ืฉื™ื•. ื”ืงืฆื‘ื” ื”ืขืชื™ื“ื™ืช ืœื ืžืžืฉ "ืงื™ื™ืžืช" ื‘ืชื•ื“ืขื”, ื•ืœื›ืŸ ื”ื™ื ืžืคืกื™ื“ื” ื‘ื›ืœ ืคืขื.

ื•ื–ื• ืœื ืฉืืœื” ืฉืœ ื—ืฉื™ื‘ื” ื›ืœื›ืœื™ืช ืœืงื•ื™ื”. ื–ื• ื ื˜ื™ื™ื” ื ื•ื™ืจื•ืœื•ื’ื™ืช ืžื“ื•ื“ื”. ื’ื ืžื™ ืฉืื™ืŸ ืœื• ADHD ื—ื•ื•ื” ื”ื™ื•ื•ืŸ ืžื•ืฉื”ื”, ื‘ืžื™ื“ื” ืžืกื•ื™ืžืช. ADHD ืžื’ื‘ื™ืจื” ืืช ื”ื ื˜ื™ื™ื” ื”ื–ื•, ื•ืœื ื‘ื’ืœืœ ื—ื•ืกืจ ืžืฉืžืขืช, ื‘ื’ืœืœ ื”ืื•ืคืŸ ืฉื‘ื• ื”ืžื•ื— ืžืขื‘ื“ ื–ืžืŸ.

  • ื”ื™ื•ื•ืŸ ืžื•ืฉื”ื”: ืชื’ืžื•ืœ ืขืชื™ื“ื™ "ืฉื•ื•ื”" ืคื—ื•ืช ื›ื›ืœ ืฉื”ื•ื ืจื—ื•ืง ื™ื•ืชืจ ื‘ื–ืžืŸ
  • ืืฆืœ ADHD ื”ืชื•ืคืขื” ื—ื–ืงื” ื™ื•ืชืจ ื‘ืื•ืคืŸ ืžื“ื™ื“ (Amlung et al., 2016)
  • ืงืฆื‘ื” ื‘ืขื•ื“ 40 ืฉื ื” ืžืคืกื™ื“ื” ื›ืžืขื˜ ืชืžื™ื“ ืžื•ืœ ืชื’ืžื•ืœ ืงื˜ืŸ ื•ืžื™ื™ื“ื™

ื”ืžื ื’ื ื•ืŸ ื”ืฉื ื™: ื–ื™ื›ืจื•ืŸ ืขื‘ื•ื“ื” ืขืžื•ืก, ืœืžื” ื“ื•ื— ืคื ืกื™ื•ื ื™ ืžืจื’ื™ืฉ ื›ืžื• ืกื™ื•ื˜

ืœืคื™ ื”ืžื•ื“ืœ ื”ืžืฉืคื™ืข ื‘ื™ื•ืชืจ ื‘ืชื—ื•ื, ืฉืœ ื“"ืจ ืจืืกืœ ื‘ืืจืงืœื™, ื”ืœื™ื‘ื” ืฉืœ ADHD ื”ื™ื ืคื’ื™ืขื” ื‘ืชืคืงื•ื“ื™ื ื ื™ื”ื•ืœื™ื™ื, ื•ื‘ืจืืฉื ื–ื™ื›ืจื•ืŸ ื”ืขื‘ื•ื“ื” (Barkley, 1997). ื•ื—ื™ืกื›ื•ืŸ ืคื ืกื™ื•ื ื™ ื“ื•ืจืฉ ื‘ื“ื™ื•ืง ืืช ื”ืžืฉืื‘ ื”ื–ื”: ืœื”ื—ื–ื™ืง ื‘ืจืืฉ ื›ืžื” ื ืชื•ื ื™ื ื‘ื• ื–ืžื ื™ืช ื•ืœื”ืฉื•ื•ืช ื‘ื™ื ื™ื”ื.

ื’ื•ื‘ื” ื”ืคืงื“ื•ืช, ืžืกืœื•ืœื™ ื”ืฉืงืขื”, ื“ืžื™ ื ื™ื”ื•ืœ, ืชืฉื•ืื”. ืืจื‘ืขื” ืžืฉืชื ื™ื, ืฉืฆืจื™ืš ืœื”ืฉื•ื•ืช ืื—ื“ ืžื•ืœ ื”ืฉื ื™ ื›ื“ื™ ืœืงื‘ืœ ื”ื—ืœื˜ื”. ืขื‘ื•ืจ ืžื™ ืฉื–ื™ื›ืจื•ืŸ ื”ืขื‘ื•ื“ื” ืฉืœื• ืžื•ื’ื‘ืœ, ื”ื”ืฉื•ื•ืื” ื”ื–ื• ืงื•ืจืกืช ืื—ืจื™ ื›ืžื” ื“ืงื•ืช. ื”ืžืกืคืจื™ื ืžืชื—ืœืคื™ื, ืžืชืขืจื‘ื‘ื™ื, ื•ื ืฉื›ื—ื™ื.

ื”ืชื•ืฆืื” ื ืงืจืืช "ืชืฉื™ืฉื•ืช ื”ื—ืœื˜ื”" (Decision Fatigue), ื•ื”ื™ื ืžื•ื‘ื™ืœื” ืœื•ื•ื™ืชื•ืจ. ืœื ื‘ื’ืœืœ ืฉื”ืื“ื ืœื ืžื‘ื™ืŸ ืืช ื”ืžื•ืฉื’ื™ื, ื›ื™ ื”ืžื•ื— ืฉืœื• ืžืชืขื™ื™ืฃ ืžื”ืจ ื™ื•ืชืจ ื‘ืชื”ืœื™ืš ื”ื”ื—ื–ืงื” ื•ื”ื”ืฉื•ื•ืื” ืฉืœื”ื. ื•ืœื•ื•ืชืจ ืขืœ ื”ืฉื•ื•ืื” ื–ื” ืงืœ ื‘ื”ืจื‘ื” ืžืœื”ืžืฉื™ืš ืœื”ืชืืžืฅ ืžื•ืœ ืžืฉื”ื• ืฉืžืžื™ืœื ืžืจื’ื™ืฉ ื‘ืœืชื™ ืืคืฉืจื™.

  • ื–ื™ื›ืจื•ืŸ ืขื‘ื•ื“ื” ื—ืœืฉ (Barkley, 1997) ื”ื•ื ืœื™ื‘ืช ื”-ADHD, ืœื ืชื•ืคืขืช ืœื•ื•ืื™ ืฉืœื”
  • ื”ืฉื•ื•ืืช ืžืกืœื•ืœื™ ืคื ืกื™ื” ื“ื•ืจืฉืช ื”ื—ื–ืงืช ื›ืžื” ืžืฉืชื ื™ื ื‘ื• ื–ืžื ื™ืช, ื‘ื“ื™ื•ืง ื”ืžืฉืื‘ ื”ื—ืœืฉ
  • ื”ืชื•ืฆืื”: ืชืฉื™ืฉื•ืช ื”ื—ืœื˜ื”, ื•ืื– ื•ื™ืชื•ืจ ืขืœ ื”ื”ืฉื•ื•ืื” ื‘ื›ืœืœ

ื”ืžื ื’ื ื•ืŸ ื”ืฉืœื™ืฉื™: ื“ื•ืคืžื™ืŸ ืžื™ื™ื“ื™ ืžื•ืœ ืงืจืŸ ืฉืœื ืžืจื’ื™ืฉื™ื ืื•ืชื”

ื”ืžื•ื— ื”ืงืฉื‘ื™ ืžื—ืคืฉ ื’ื™ืจื•ื™ื™ื ื›ื“ื™ ืœืชืคืงื“, ื‘ื’ืœืœ ืจืžื•ืช ื ืžื•ื›ื•ืช ืฉืœ ื“ื•ืคืžื™ืŸ ื‘ืื–ื•ืจ ื”ืžื•ื— ืฉืื—ืจืื™ ืขืœ ื”ื—ืœื˜ื•ืช ื•ืชื›ื ื•ืŸ. ืคื ืกื™ื”, ืœืขื•ืžืช ืงื ื™ื™ื” ืงื˜ื ื”, ืœื ืžืกืคืงืช ืฉื•ื ื’ื™ืจื•ื™ ืžื™ื™ื“ื™. ืื– ื‘ื–ืžืŸ ืฉื”ืืจื ืง "ื ื•ืงื‘" ื‘ื”ื•ืฆืื•ืช ืงื˜ื ื•ืช, ืงืจืŸ ื”ืคื ืกื™ื” ื ืฉืืจืช ืฉืงื•ืคื” ืœื—ืœื•ื˜ื™ืŸ.

ื”ื“ื™ื ืžื™ืงื” ื”ื–ื• ืงืจื•ื‘ื” ืœืชื•ืคืขื” ืฉื›ื‘ืจ ื”ื›ืจืชื ืžื”ืขืจืคืœ ื”ื›ืกืคื™: ื›ืกืฃ ื“ื™ื’ื™ื˜ืœื™ ืฉืœื ื ืจืฉื ื‘ื–ื™ื›ืจื•ืŸ ื›ื™ ืื™ืŸ ืœื• ื ื•ื›ื—ื•ืช ืคื™ื–ื™ืช. ื”ื›ืกืฃ ืฉื™ื•ืฆื ืžื”ืขื•"ืฉ ืœื”ืคืงื“ื” ื—ื•ื“ืฉื™ืช ืœืคื ืกื™ื” ืกื•ื‘ืœ ืžืื•ืชื” ื‘ืขื™ื”, ื‘ื’ืจืกื” ื—ืžื•ืจื” ื™ื•ืชืจ, ื›ื™ ืžื“ื•ื‘ืจ ื‘ื›ืกืฃ ืฉืืฃ ืคืขื ืœื ืจื•ืื™ื ื‘ื›ืœืœ.

ื•ื‘ืฉื•ืง ื”ื”ื•ืŸ ืขืฆืžื•, ืื•ืชื• ืฆื•ืจืš ื‘ื’ื™ืจื•ื™ ืžืชื‘ื˜ื ื”ืคื•ืš: ืžืกื—ืจ ื™ืชืจ, ื”ื—ืœืคืช ืžืกืœื•ืœื™ื ืชื›ื•ืคื” ืžื“ื™, ื”ื—ืœื˜ื•ืช ืื™ืžืคื•ืœืกื™ื‘ื™ื•ืช ืฉื ื•ื‘ืขื•ืช ืžืชืฉื•ืงื” ืœืคืขื•ืœื” ื•ืœื ืžืชื›ื ื•ืŸ. ื”ื”ื–ื ื—ื” ื”ืžื•ื—ืœื˜ืช ื•ื”ื”ืชืขืจื‘ื•ืช ื”ื™ืชืจื” ืžื’ื™ืขื•ืช ืžืื•ืชื• ืžืงื•ื ื‘ื“ื™ื•ืง.

ืžื–ื“ื”ื™ื ืขื ื”ืžื‘ื•ืš ื”ื–ื”?

ื–ืื‘ ืขื•ื‘ื“ ืขื ืื ืฉื™ื ืขื ADHD ืขืœ ื‘ื ื™ื™ืช ืชื›ื ื•ืŸ ืคื ืกื™ื•ื ื™ ืฉืœื ื ืฉืขืŸ ืขืœ ื–ื™ื›ืจื•ืŸ ืื• ื›ื•ื— ืจืฆื•ืŸ, ืืœื ืขืœ ืžื‘ื ื” ืฉืขื•ื‘ื“ ืœื‘ื“.

ื”ืฉืื™ืจื• ืคืจื˜ื™ื ืœืฉื™ื—ื”

ืžื” ืฉื ืงืจื ื‘ืงื”ื™ืœื” "ืžืก ื”-ADHD", ื•ืื™ืš ื”ื•ื ืคื•ื’ืข ื‘ื“ื™ื•ืง ื‘ืคื ืกื™ื”

ืงื ืกื•ืช ืขืœ ืชืฉืœื•ืžื™ื ื‘ืื™ื—ื•ืจ, ื”ื˜ื‘ื•ืช ืžืก ืฉืœื ื ื•ืฆืœื•, ื•ืœืคืขืžื™ื ื‘ื™ื˜ื•ืœ ืคื•ืœื™ืกืช ื‘ื™ื˜ื•ื— ื—ื™ื™ื ืื• ืื•ื‘ื“ืŸ ื›ื•ืฉืจ ืขื‘ื•ื“ื” ื›ื“ื™ ืœืคืชื•ืจ ืœื—ืฅ ืชื–ืจื™ืžื™ ืจื’ืขื™: ื‘ืงื”ื™ืœืช ื”-ADHD ืงื•ืจืื™ื ืœืขืœื•ื™ื•ืช ื”ืžืฆื˜ื‘ืจื•ืช ื”ืืœื” "ืžืก ื”-ADHD". ื–ื” ืœื ืžื•ื ื— ืงืœื™ื ื™, ืื‘ืœ ื”ืขืœื•ื™ื•ืช ืฉื”ื•ื ืžืชืืจ ืืžื™ืชื™ื•ืช ืœื’ืžืจื™. ื”ืจื—ื‘ื” ืžืœืื” ืขืœ ื”ืžื ื’ื ื•ืŸ ื ืžืฆืืช ื‘ืžืก ื”-ADHD, ื›ืžื” ื”ื•ื ืขื•ืœื” ืœื›ื ื‘ืคื•ืขืœ.

ื‘ื”ืงืฉืจ ื”ืคื ืกื™ื•ื ื™, ื”ืžืก ื”ื–ื” ื›ื‘ื“ ื‘ืžื™ื•ื—ื“. ื™ืฉ ื’ื ืžืžื“ ืชืขืกื•ืงืชื™: ืžืขืงื‘ ืืจื•ืš ื˜ื•ื•ื— (Klein et al., 2012) ืžืฆื ืฉื™ืขื•ืจื™ ืชื—ืœื•ืคืช ืขื‘ื•ื“ื” ื•ืื‘ื˜ืœื” ื’ื‘ื•ื”ื™ื ื™ื•ืชืจ ืืฆืœ ื‘ื•ื’ืจื™ื ืขื ADHD ืœืขื•ืžืช ืงื‘ื•ืฆืช ื‘ื™ืงื•ืจืช. ื›ืœ ื”ื—ืœืคืช ืžืขืกื™ืง ืคื•ืชื—ืช ืงืจืŸ ืคื ืกื™ื” ื—ื“ืฉื”, ื•ืžืฉืื™ืจื” ืืช ื”ืงืจืŸ ื”ืงื•ื“ืžืช ืžืื—ื•ืจ, ื ื˜ื•ืฉื”, ื‘ืœื™ ืฉื ืขื‘ื™ืจ ืื• ื ืื—ื“ ืื•ืชื”.

ืื—ืจื™ ื›ืžื” ืฉื ื™ื ื•ืฉืชื™-ืฉืœื•ืฉ ื”ื—ืœืคื•ืช ืขื‘ื•ื“ื”, ื™ืฉ ื›ืกืคื™ ืคื ืกื™ื” ื‘ืฉืœื•ืฉ-ืืจื‘ืข ืงืจื ื•ืช ืฉื•ื ื•ืช. ื›ืœ ืงืจืŸ ื’ื•ื‘ื” ื“ืžื™ ื ื™ื”ื•ืœ ืžืฉืœื”. ืืฃ ืื—ืช ืœื "ืžื“ื‘ืจืช" ืขื ื”ืฉื ื™ื™ื”. ื•ื–ื” ืงื•ืจื” ืœื ื›ื™ ืœื ืื›ืคืช, ื›ื™ ื”ื‘ื™ืจื•ืงืจื˜ื™ื” ืฉืœ ืื™ื—ื•ื“ ืงืจื ื•ืช ื”ื™ื ื‘ื“ื™ื•ืง ืกื•ื’ ื”ืžืฉื™ืžื” ืฉื™ื•ืฆืจืช ืฉื™ืชื•ืง ืžื™ื™ื“ื™ ืืฆืœ ืžื•ื— ืงืฉื‘ื™.

  • "ืžืก ื”-ADHD": ื›ื™ื ื•ื™ ืงื”ื™ืœืชื™ ืœืขืœื•ื™ื•ืช ืฉื ื•ื‘ืขื•ืช ืžืงืฉื™ื™ ืืจื’ื•ืŸ, ืœื ืžื•ื ื— ืงืœื™ื ื™
  • ืชื—ืœื•ืคืช ืขื‘ื•ื“ื” ื•ืื‘ื˜ืœื” ื’ื‘ื•ื”ื•ืช ื™ื•ืชืจ (Klein et al., 2012) = ืงืจื ื•ืช ืคื ืกื™ื” ืžืคื•ื–ืจื•ืช
  • ื›ืœ ืงืจืŸ ื ื˜ื•ืฉื” ืžืžืฉื™ื›ื” ืœื’ื‘ื•ืช ื“ืžื™ ื ื™ื”ื•ืœ, ื’ื ื‘ืœื™ ืฉืชืฉื™ืžื• ืœื‘

ื–ื” ืœื ืื•ืคื™ ื•ืœื ืขืฆืœื ื•ืช, ื–ื• ื‘ื™ื•ืœื•ื’ื™ื” ืฉื“ื•ืจืฉืช ืคืชืจื•ืŸ ืื—ืจ

ื‘ื™ืŸ 2.5% ืœ-4.4% ืžื”ืžื‘ื•ื’ืจื™ื ืขื•ืžื“ื™ื ื‘ืงืจื™ื˜ืจื™ื•ื ื™ื ืœ-ADHD (Kessler 2006; Fayyad 2007), ื•ืจื‘ื™ื ื ื•ืกืคื™ื ื—ื™ื™ื ืขื ืื•ืชื ืžื ื’ื ื•ื ื™ื ื‘ื“ื™ื•ืง ื‘ืœื™ ืื‘ื—ื•ืŸ. ื”ืฉื™ื˜ื•ืช ื”ืงื™ื™ืžื•ืช ืœืชื›ื ื•ืŸ ืคืจื™ืฉื” ืœื ื ื‘ื ื• ื‘ืฉื‘ื™ืœ ื”ืžื•ื— ื”ื–ื”, ื•ื›ื•ื— ืจืฆื•ืŸ ืœื ืžืคืฆื” ืขืœ ืคืขืจ ื ื•ื™ืจื•ืœื•ื’ื™ ืืžื™ืชื™.

ื”ืžืขืจื›ืช ื”ืคื ืกื™ื•ื ื™ืช, ืขืœ ื›ืœ ื”ื˜ืคืกื™ื ื•ื”ืžื›ืชื‘ื™ื ื”ืฉื ืชื™ื™ื ืฉืœื”, ื‘ื ื•ื™ื” ืขืœ ื”ื ื—ื” ืื—ืช: ืฉื‘ืŸ ืื“ื ืกื‘ื™ืจ, ืขื ืžื™ื“ืข ื•ืจืฆื•ืŸ, ื™ื“ื—ื” ืกื™ืคื•ืง ื‘ื”ื•ื•ื” ืœื˜ื•ื‘ืช ื‘ื™ื˜ื—ื•ืŸ ื‘ืขืชื™ื“. ืืฆืœ ืžื•ื— ืงืฉื‘ื™, ื‘ื“ื™ื•ืง ืฉื ื™ ื”ืžืจื›ื™ื‘ื™ื ื”ืืœื”, ื“ื—ื™ื™ืช ืกื™ืคื•ืง ื•ืชื›ื ื•ืŸ ืงื“ื™ืžื”, ื”ื ื”ืžืงื•ื ืฉื‘ื• ADHD ืคื•ื’ืขืช ื”ื›ื™ ื—ื–ืง.

ืื•ืชื• ืžื•ื— ืœืจื•ื‘ ืžืฆื˜ื™ื™ืŸ ื“ื•ื•ืงื ื‘ืžืงื•ืžื•ืช ืื—ืจื™ื: ืคืชืจื•ืŸ ื‘ืขื™ื•ืช ืžื–ื•ื•ื™ื•ืช ืœื ืฉื’ืจืชื™ื•ืช, ื™ืฆื™ืจืชื™ื•ืช, ืื™ื ื˜ื•ืื™ืฆื™ื” ืขืกืงื™ืช. ืื‘ืœ "ืชื–ื›ืจ ืœืขื“ื›ืŸ ืืช ื”ืงืจืŸ ื›ืฉื”ื—ืœืคืช ืขื‘ื•ื“ื”" ื”ื•ื ืกื•ื’ ื”ืžืฉื™ืžื” ืฉืžืชื ื’ืฉ ื—ื–ื™ืชื™ืช ืขื ื”ื ื•ื™ืจื•ืœื•ื’ื™ื”. ืชื›ื ื•ืŸ ืคื™ื ื ืกื™ ืฉืžืชื—ืฉื‘ ื‘-ADHD ืœื ืฉื•ืืœ "ืœืžื” ืœื ื”ืฆืœื—ืช ืœื˜ืคืœ ื‘ื–ื”", ื”ื•ื ืฉื•ืืœ "ืื™ืš ื‘ื•ื ื™ื ืžื‘ื ื” ืฉื™ื˜ืคืœ ื‘ื–ื” ื‘ืฉื‘ื™ืœืš".

ื”ื”ื‘ื“ืœ ื”ื–ื” ืงืจื™ื˜ื™, ื›ื™ ื”ื•ื ืžืฉื ื” ืืช ื›ืœ ื”ืฉื™ื—ื”. ื™ื•ืขืฅ ืฉืžืชื™ื™ื—ืก ืœืคื™ื–ื•ืจ ื”ืงืจื ื•ืช ื›"ืจืฉืœื ื•ืช" ืฉื•ืœื— ืืช ื”ืœืงื•ื— ื”ื‘ื™ืชื” ืขื ืขื•ื“ ืชื—ื•ืฉืช ืืฉืžื”, ื‘ืœื™ ืคืชืจื•ืŸ. ื™ื•ืขืฅ ืฉืžื‘ื™ืŸ ืืช ื”ืžื ื’ื ื•ืŸ ื‘ื•ื ื” ืžืกื‘ื™ื‘ื• ืชื”ืœื™ืš: ืื™ืชื•ืจ, ืื™ื—ื•ื“, ืื•ื˜ื•ืžืฆื™ื”, ื•ืžืขืงื‘ ืชืงื•ืคืชื™ ืงืฆืจ, ื‘ืžืงื•ื ืœื”ื˜ื™ืœ ืืช ื›ืœ ื”ืžืฉืงืœ ืขืœ ื–ื™ื›ืจื•ืŸ ืฉืžืžื™ืœื ืžื•ื’ื‘ืœ.

ืจื•ืฆื™ื ืชื›ื ื•ืŸ ืคืจื™ืฉื” ืฉืžืชืื™ื ืœืžื•ื— ื”ืงืฉื‘ื™?

ื–ืื‘ ืžืœื•ื•ื” ืื ืฉื™ื ืขื ADHD ื‘ื‘ื ื™ื™ืช ืชื›ื ื•ืŸ ืคืจื™ืฉื” ื•ื—ื™ืกื›ื•ืŸ ืคื ืกื™ื•ื ื™ ืฉืœื ื ืฉืขืŸ ืขืœ ื–ื™ื›ืจื•ืŸ.

ื‘ื•ืื• ื ื“ื‘ืจ

ืžื” ืขื•ื‘ื“: ืžืขืงืคื™ื ืงื•ื’ื ื™ื˜ื™ื‘ื™ื™ื ื‘ืžืงื•ื ื ื™ืกื™ื•ืŸ "ืœื”ืชืืคืง"

ื”ืคืชืจื•ืŸ ืœื ื ืžืฆื ื‘ื”ื—ืœื˜ื” ื˜ื•ื‘ื” ื™ื•ืชืจ ืื• ื‘ื›ื•ื— ืจืฆื•ืŸ ื’ื“ื•ืœ ื™ื•ืชืจ. ื”ื•ื ื ืžืฆื ื‘ื‘ื ื™ื™ืช ืžื‘ื ื” ื—ื™ืฆื•ื ื™ ืฉืžื•ืฆื™ื ืืช ื”ื–ื™ื›ืจื•ืŸ ื•ืืช ืงื‘ืœืช ื”ื”ื—ืœื˜ื•ืช ืžื”ืžืฉื•ื•ืื”, ื•ืžื—ืœื™ืฃ ืื•ืชื ื‘ืื•ื˜ื•ืžืฆื™ื” ื•ื‘ืฆืขื“ื™ื ืงื˜ื ื™ื.

ืจืืฉื™ืช, ื”ื•ืจืืช ืงื‘ืข ืงืฉื™ื—ื”. ืขื‘ื•ืจ ืขืฆืžืื™ื™ื ืื• ืฉื›ื™ืจื™ื ื‘ืœื™ ืจืฆืฃ ืคื ืกื™ื•ื ื™ ืกื“ื•ืจ, ื–ื• ื”ื“ืจืš ื”ื™ื—ื™ื“ื” ืฉืขื•ื‘ื“ืช: ื”ืคืงื“ื” ืฉืงื•ืจื™ืช ื‘ื™ื•ื ืงื‘ืœืช ื”ืžืฉื›ื•ืจืช, ื‘ืœื™ ืฉืฆืจื™ืš ืœื”ื—ืœื™ื˜ ืžื—ื“ืฉ ื›ืœ ื—ื•ื“ืฉ. ืื™ืŸ "ืœื–ื›ื•ืจ ืœื”ืคืงื™ื“". ื–ื” ืงื•ืจื”, ื ืงื•ื“ื”.

ืฉื ื™ืช, ืื™ืชื•ืจ ื›ืกืคื™ื ืื‘ื•ื“ื™ื. ืืชืจ "ื”ืจ ื”ื›ืกืฃ" ืฉืœ ืžืฉืจื“ ื”ืื•ืฆืจ ืžืืคืฉืจ ืœื‘ื“ื•ืง ืชื•ืš ื›ืžื” ื“ืงื•ืช ืื ื™ืฉ ืงืจื ื•ืช ื™ืฉื ื•ืช, ืฉื ืคืชื—ื• ื‘ืขื‘ื•ื“ื•ืช ืงื•ื“ืžื•ืช ื•ื ืฉืืจื• ืžืื—ื•ืจ. ื•ืื–, ืื™ื—ื•ื“ ื‘ืืžืฆืขื•ืช ื”ืžืกืœืงื” ื”ืคื ืกื™ื•ื ื™ืช: ื”ืžืขืจื›ืช ืžืจื›ื–ืช ืืช ื›ืœ ื”ื ืชื•ื ื™ื ืฉืœื›ื ื•ืžืืคืฉืจืช ื‘ื™ืฆื•ืข ื ื™ื•ื“ ื‘ื™ืŸ ืงืจื ื•ืช ื‘ืฆื•ืจื” ืืœืงื˜ืจื•ื ื™ืช, ื‘ื“ืจืš ื›ืœืœ ื‘ืœื™ื•ื•ื™ ืกื•ื›ืŸ ืคื ืกื™ื•ื ื™ ืฉืžื’ื™ืฉ ืืช ื”ื‘ืงืฉื” ื‘ืžืงื•ืžื›ื, ื‘ืœื™ ืฉืชืฆื˜ืจื›ื• ืœืžืœื ื˜ื•ืคืก ืื—ืจ ื˜ื•ืคืก.

ืฉืœื™ืฉื™ืช, ืคื™ืจื•ืง ื”ืžืฉื™ืžื” ืœืฆืขื“ ืื—ื“. ืœื "ืœื˜ืคืœ ื‘ืคื ืกื™ื”", ืืœื "ื‘ื™ื•ื ืจืืฉื•ืŸ ื‘ืฉืžื•ื ื” ื‘ื‘ื•ืงืจ ืื ื™ ืจืง ืžืชืงืฉืจ ื•ืžื‘ืงืฉ ืืช ืคืจื˜ื™ ื”ืงืจืŸ ืฉืœื™". ืฆืขื“ ืงื˜ืŸ, ืกืคืฆื™ืคื™, ืขื ื–ืžืŸ ื•ืžืงื•ื ืžื•ื’ื“ืจื™ื, ื‘ืžืงื•ื ืžืฉื™ืžื” ืขืฆื•ืžื” ืฉื“ื•ื—ื™ื ื›ื™ ื”ื™ื ื ืจืื™ืช ื‘ืœืชื™ ืืคืฉืจื™ืช.

ืจื‘ื™ืขื™ืช, ื•ื™ื–ื•ืืœื™ื–ืฆื™ื” ืฉืœ ื”ืขืฆืžื™ ื”ืขืชื™ื“ื™. ืžื—ืงืจ ืฉืœ ื”ืจืฉืคื™ืœื“ ื•ืขืžื™ืชื™ื• (2011) ื”ืจืื” ืฉืื ืฉื™ื ืฉืจืื• ืชืžื•ื ื” ืžื–ื•ืงื ืช ืฉืœ ืขืฆืžื ื‘ืขืชื™ื“ ื”ืงืฆื• ืกื›ื•ืžื™ื ื’ื‘ื•ื”ื™ื ืžืฉืžืขื•ืชื™ืช ืœื—ื™ืกื›ื•ืŸ ืœื˜ื•ื•ื— ืืจื•ืš, ื‘ื”ืฉื•ื•ืื” ืœืžื™ ืฉืœื ืจืื”. ื›ืฉื”"ืื ื™ ื‘ืขื•ื“ 30 ืฉื ื”" ื”ื•ืคืš ืœืžืฉื”ื• ืžื•ื—ืฉื™, ืงืœ ื™ื•ืชืจ ืœื”ืฆื“ื™ืง ื”ืคืงื“ื” ืฉืœื ืžืจื’ื™ืฉื™ื ืื•ืชื” ืขื›ืฉื™ื•.

  • ื”ื•ืจืืช ืงื‘ืข ืงืฉื™ื—ื”: ืžื•ืฆื™ืื™ื ืืช ื”ื”ื—ืœื˜ื” ื”ื—ื•ื“ืฉื™ืช ืžื”ืžืฉื•ื•ืื” ืœื’ืžืจื™
  • ื”ืจ ื”ื›ืกืฃ ืœืื™ืชื•ืจ, ื”ืžืกืœืงื” ื”ืคื ืกื™ื•ื ื™ืช ืœืื™ื—ื•ื“, ื‘ื“ืจืš ื›ืœืœ ื‘ืœื™ื•ื•ื™ ืกื•ื›ืŸ
  • ืคื™ืจื•ืง ืœ"ืฆืขื“ ืื—ื“ ืงื˜ืŸ" ื‘ืžืงื•ื "ืœื˜ืคืœ ื‘ืคื ืกื™ื”" ื›ืžืฉื™ืžื” ืขื ืงื™ืช ืื—ืช
  • ื•ื™ื–ื•ืืœื™ื–ืฆื™ื” ืฉืœ ื”ืขืฆืžื™ ื”ืขืชื™ื“ื™ ืžื’ื“ื™ืœื” ื ื›ื•ื ื•ืช ืœื—ืกื•ืš (Hershfield et al., 2011)

ืืจื‘ืขืช ื”ืขืงืจื•ื ื•ืช ื”ืืœื” ืขื•ื‘ื“ื™ื ื‘ื™ื—ื“, ืœื ื‘ื ืคืจื“. ืื•ื˜ื•ืžืฆื™ื” ื‘ืœื™ ืื™ืชื•ืจ ืœื ืคื•ืชืจืช ืงืจื ื•ืช ืื‘ื•ื“ื•ืช. ืื™ืชื•ืจ ื‘ืœื™ ืื™ื—ื•ื“ ืžืฉืื™ืจ ืืช ื”ืคื™ื–ื•ืจ ื‘ื“ื™ื•ืง ื‘ืžืงื•ื ืฉื”ื•ื ื”ื™ื”. ื•ื›ืœ ื–ื” ืงืœ ื‘ื”ืจื‘ื” ื›ืฉืžื™ืฉื”ื• ืื—ืจ ืžื—ื–ื™ืง ืืช ื”ืจืฉื™ืžื”, ืฉื•ืœื— ืชื–ื›ื•ืจืช, ื•ืžื’ื™ืฉ ืืช ื”ื˜ืคืกื™ื, ื›ื“ื™ ืฉื”ืื—ืจื™ื•ืช ืœื ืชื™ืคื•ืœ ืฉื•ื‘ ืขืœ ื”ื–ื™ื›ืจื•ืŸ ืฉืœื›ื.

ื›ืžื” ื–ื” ืขื•ืœื” ื‘ืคื•ืขืœ: ืงืจื ื•ืช ืžืคื•ื–ืจื•ืช ื•ื‘ื™ื˜ื•ื—ื™ื ื›ืคื•ืœื™ื

ืขืจืคืœ ื•ืงืฉื™ื™ ืืจื’ื•ืŸ ืœื ื ืฉืืจื™ื ื‘ื”ื•ืฆืื•ืช ื”ื™ื•ืžื™ื•ืžื™ื•ืช. ื”ื ืžื—ืœื—ืœื™ื ืœืชื—ื•ืžื™ื ืฉื‘ื”ื ื”ืžื—ื™ืจ ืฉืœ ืื™-ืชืฉื•ืžืช ืœื‘ ื’ื‘ื•ื” ื‘ื”ืจื‘ื”: ืงืจืŸ ืคื ืกื™ื”, ื‘ื™ื˜ื•ื— ื—ื™ื™ื, ื‘ื™ื˜ื•ื— ืื•ื‘ื“ืŸ ื›ื•ืฉืจ ืขื‘ื•ื“ื”.

ืงืจื ื•ืช ืคื ืกื™ื” ืžืคื•ื–ืจื•ืช ื‘ื™ืŸ ื›ืžื” ืžืงื•ืžื•ืช ืขื‘ื•ื“ื” ื’ื•ื‘ื•ืช ื“ืžื™ ื ื™ื”ื•ืœ ื›ืคื•ืœื™ื, ื•ืœืคืขืžื™ื ืžืฉืœืžื•ืช ืชืฉื•ืื” ื ืžื•ื›ื” ื™ื•ืชืจ ื‘ืžืกืœื•ืœ ื‘ืจื™ืจืช ืžื—ื“ืœ ืฉืœื ืขื•ื“ื›ืŸ ืฉื ื™ื. ื‘ื™ื˜ื•ื—ื™ื ืฉื ืจื›ืฉื• ื•ื ืฉื›ื—ื•, ื›ืืœื” ืฉื”ื’ื™ืขื• ืขื ื›ืจื˜ื™ืก ืืฉืจืื™ ืื• ืžืฉื›ื ืชื ื‘ืœื™ ืฉื‘ื™ืงืฉื ื•, ืžืžืฉื™ื›ื™ื ืœื”ื™ื’ื‘ื•ืช ืžื“ื™ ื—ื•ื“ืฉ ื‘ืœื™ ืฉื ื“ืข ืฉื”ื ืฉื.

ืœืคืขืžื™ื ื™ืฉ ื›ืคื™ืœื•ืช ืžืžืฉ: ืฉืชื™ ืคื•ืœื™ืกื•ืช ื‘ื™ื˜ื•ื— ื—ื™ื™ื ืฉืžื›ืกื•ืช ื‘ื“ื™ื•ืง ืืช ืื•ืชื• ื“ื‘ืจ, ื›ื™ ืคืฉื•ื˜ ืฉื›ื—ื ื• ืฉื”ืจืืฉื•ื ื” ืงื™ื™ืžืช ื›ืฉืงื ื™ื ื• ืืช ื”ืฉื ื™ื™ื”. ื•ื–ื” ื‘ื“ื™ื•ืง ืกื•ื’ ื”ื‘ื–ื‘ื•ื– ืฉืงืฉื” ืœื’ืœื•ืช ืœื‘ื“, ื›ื™ ื’ื™ืœื•ื™ ื“ื•ืจืฉ ื‘ื“ื™ื•ืง ืืช ื”ื™ื›ื•ืœืช ืฉื”ื›ื™ ื—ืœืฉื”: ืžืขืงื‘ ืฉื•ื˜ืฃ ื•ืžืขื•ื“ื›ืŸ.

ื‘-goola ืื ื—ื ื• ื‘ื•ื—ื ื™ื ืืช ื›ืœืœ ื”ืคื ืกื™ื”, ื”ื‘ื™ื˜ื•ื— ื•ื”ื—ื™ืกื›ื•ืŸ ืœืคื ื™ ื›ืœ ื”ืžืœืฆื”, ื›ื“ื™ ืฉืœื ืชืฉืื™ืจื• ื›ืกืฃ ืขืœ ื”ืฉื•ืœื—ืŸ ื‘ื’ืœืœ ืคื™ื–ื•ืจ ืฉื ื•ืฆืจ ื‘ื”ื™ืกื— ื”ื“ืขืช, ืœื ืžืชื•ืš ืจืฉืœื ื•ืช.

ื›ื“ืื™ ืœื‘ื“ื•ืง: ื›ืžื” ืงืจื ื•ืช ืคื ืกื™ื” ื™ืฉ ืœื›ื ื‘ืคื•ืขืœ?

ื–ืื‘ ื‘ื•ื“ืง ืžื” ื™ืฉ, ืžื” ื—ืกืจ, ื•ืžื” ืžื—ื•ื™ื‘ ืฉืœื ืฆืจื™ืš. ืฉื™ื—ืช ื”ื™ื›ืจื•ืช ืจืืฉื•ื ื” ืœืœื ืขืœื•ืช ื•ืœืœื ื”ืชื—ื™ื™ื‘ื•ืช.

ื”ืฉืื™ืจื• ืคืจื˜ื™ื

ื”ืžื‘ื•ืš ื”ื•ื ืืžื™ืชื™, ืื‘ืœ ื”ื•ื ืœื ืฉืœื›ื ืœืคืชื•ืจ ืœื‘ื“

ื”ืžื•ื— ื”ืงืฉื‘ื™ ืœื ืžื™ื•ืขื“ ืœื”ื™ื›ืฉืœ ื‘ืคื ืกื™ื”. ื”ื•ื ืคืฉื•ื˜ ืœื ืชื•ื›ื ืŸ ืœืฉื™ื˜ื” ืฉื“ื•ืจืฉืช ื–ื™ื›ืจื•ืŸ ืžื•ืฉืœื ื•ืชื›ื ื•ืŸ ืฉืœ ืขืฉืจื•ืช ืฉื ื™ื ืงื“ื™ืžื”. ื–ื” ืœื ื›ื™ืฉืœื•ืŸ ืื™ืฉื™, ื•ื’ื ืœื ืกื™ื‘ื” ืœื•ื•ืชืจ.

ืžื” ืฉืขื•ื‘ื“ ื”ื•ื ืœื ื ื™ืกื™ื•ืŸ ืœื”ืคื•ืš ืืช ื”ืžื•ื— ื”ืงืฉื‘ื™ ืœืžื•ื— ืื—ืจ. ื–ื” ืœื‘ื ื•ืช ืกื‘ื™ื‘ื• ืžื‘ื ื” ืฉืžืชืื™ื ืœืื•ืคืŸ ืฉื‘ื• ื”ื•ื ื‘ืืžืช ืคื•ืขืœ: ืื•ื˜ื•ืžืฆื™ื” ื‘ืžืงื•ื ื–ื™ื›ืจื•ืŸ, ืœื™ื•ื•ื™ ืžืงืฆื•ืขื™ ื‘ืžืงื•ื ื‘ื™ืจื•ืงืจื˜ื™ื” ืขืฆืžื™ืช, ืฆืขื“ื™ื ืงื˜ื ื™ื ื‘ืžืงื•ื ืžืฉื™ืžื” ืขื ืงื™ืช ืื—ืช. ื”ืกื™ืคื•ืจ ื”ืื™ืฉื™ ืฉืœื™ ืขื ADHD ื•ื›ืกืฃ ืžืชืืจ ื‘ื“ื™ื•ืง ืืช ื”ื“ืจืš ื”ื–ื•, ืž"ืื ื™ ืœื ืžืกื•ื’ืœ" ืœื”ื‘ื ื” ืฉื”ืฉืืœื” ื”ื™ื™ืชื” ืฉื’ื•ื™ื” ืžืœื›ืชื—ื™ืœื”.

ืืชื ืœื ื”ื™ื—ื™ื“ื™ื ืฉื“ื•ื—ื™ื ืืช ื”ืžื›ืชื‘ ืžื”ืงืจืŸ. ื•ืืชื ืœื ืฆืจื™ื›ื™ื ืœืคืชื•ืจ ืืช ื–ื” ืœื‘ื“.

  • ื”ืžื‘ื•ืš ื”ืคื ืกื™ื•ื ื™ ืงืฉื” ืœื›ืœ ืื“ื, ื•ืœืžื•ื— ืงืฉื‘ื™ ื”ื•ื ืงืฉื” ื™ื•ืชืจ, ืœื ื‘ื’ืœืœ ืื•ืคื™
  • ื”ืคืชืจื•ืŸ: ืžื‘ื ื” ื—ื™ืฆื•ื ื™ ืฉืขื•ื‘ื“ ื’ื ื›ืฉื”ื–ื™ื›ืจื•ืŸ ืœื
  • ืœื™ื•ื•ื™ ืžืงืฆื•ืขื™ ืขื•ืฉื” ืืช ื”ื‘ื™ืจื•ืงืจื˜ื™ื” ืฉื”ืžื•ื— ื”ืงืฉื‘ื™ ื“ื•ื—ื” ืฉื•ื‘ ื•ืฉื•ื‘

ืกื™ื›ื•ื: 5 ื‘ื“ื™ืงื•ืช ืฉื›ื“ืื™ ืœืขืฉื•ืช ื”ืฉื‘ื•ืข

ืœื ื—ื™ื™ื‘ื™ื ืœืขืฉื•ืช ื”ื›ืœ ื‘ื™ื—ื“. ื‘ื—ืจื• ืื—ืช ื•ืขืฉื• ืื•ืชื” ื”ืฉื‘ื•ืข.

  • ื‘ื“ืงื• ื‘ืืชืจ "ื”ืจ ื”ื›ืกืฃ" ืฉืœ ืžืฉืจื“ ื”ืื•ืฆืจ ืื ื™ืฉ ืœื›ื ืงืจื ื•ืช ื™ืฉื ื•ืช ืฉืฉื›ื—ืชื
  • ืกืคืจื• ื›ืžื” ืžืงื•ืžื•ืช ืขื‘ื•ื“ื” ื”ื—ืœืคืชื ื‘ืขืฉืจ ื”ืฉื ื™ื ื”ืื—ืจื•ื ื•ืช, ื•ื›ืžื” ืงืจื ื•ืช ื–ื” ืคืชื—
  • ื”ื’ื“ื™ืจื• ื”ื•ืจืืช ืงื‘ืข ืœื”ืคืงื“ื”, ืื ื”ื™ื ืœื ื›ื‘ืจ ืงื‘ื•ืขื” ืžืจืืฉ
  • ืขื‘ืจื• ืขืœ ืคื•ืœื™ืกื•ืช ื”ื‘ื™ื˜ื•ื— ืฉื”ื’ื™ืขื• ืขื ื›ืจื˜ื™ืกื™ ืืฉืจืื™ ืื• ืžืฉื›ื ืชืื•ืช, ื•ื‘ื“ืงื• ืื ื™ืฉ ื›ืคื™ืœื•ืช
  • ืงื‘ืขื• 10 ื“ืงื•ืช ื‘ื™ื•ืžืŸ: "ื‘ื“ื™ืงืช ืคื ืกื™ื”", ืขื ืžืฉื™ืžื” ืื—ืช ื‘ืœื‘ื“, ืœื ื›ืœ ื”ืจืฉื™ืžื”

ืฉืืœื•ืช ื ืคื•ืฆื•ืช

ืœืžื” ืงืจืŸ ืคื ืกื™ื” ื”ื™ื ืžืฉื™ืžื” ื›ืœ ื›ืš ืงืฉื” ืœืžื•ื— ืขื ADHD?

ื—ื™ืกื›ื•ืŸ ืคื ืกื™ื•ื ื™ ื“ื•ืจืฉ ื‘ื“ื™ื•ืง ืืช ืžื” ืฉืงืฉื” ื‘ื™ื•ืชืจ ืœืžื•ื— ืงืฉื‘ื™: ืชื›ื ื•ืŸ ืขืœ ืคื ื™ ืขืฉืจื•ืช ืฉื ื™ื, ื”ืฉื•ื•ืืช ืžืกืœื•ืœื™ื ื•ื“ืžื™ ื ื™ื”ื•ืœ, ื•ื”ืชืžื“ื” ื‘ื™ืจื•ืงืจื˜ื™ืช. ืืœื” ืชืคืงื•ื“ื™ื ื ื™ื”ื•ืœื™ื™ื, ื‘ื“ื™ื•ืง ื”ืชื—ื•ื ืฉื‘ื• ADHD ืคื•ื’ืขืช ื”ื›ื™ ื—ื–ืง, ื•ืœื ืขื ื™ื™ืŸ ืฉืœ ื—ื•ืกืจ ืขื ื™ื™ืŸ ืื• ืจืฉืœื ื•ืช.

ืžื”ื• ื”ื™ื•ื•ืŸ ืžื•ืฉื”ื” ื•ืœืžื” ื”ื•ื ื’ื•ืจื ืœื”ื–ื ื™ื— ืืช ื”ืคื ืกื™ื”?

ื”ื™ื•ื•ืŸ ืžื•ืฉื”ื” (delay discounting) ื”ื•ื ื”ื ื˜ื™ื™ื” ืฉืœ ื”ืžื•ื— ืœืชืช ืขืจืš ื ืžื•ืš ื™ื•ืชืจ ืœืชื’ืžื•ืœ ืฉืจื—ื•ืง ื‘ื–ืžืŸ. ืืฆืœ ADHD ื”ื ื˜ื™ื™ื” ื”ื–ื• ื—ื–ืงื” ื™ื•ืชืจ ื‘ืื•ืคืŸ ืžื“ื™ื“ (Amlung et al., 2016 ืžื˜ื-ืื ืœื™ื–ื”), ื•ืœื›ืŸ ืงืฆื‘ื” ื‘ืขื•ื“ 40 ืฉื ื” ื›ืžืขื˜ ืชืžื™ื“ ืžืคืกื™ื“ื” ืžื•ืœ ืชื’ืžื•ืœ ืงื˜ืŸ ื•ื–ืžื™ืŸ ืขื›ืฉื™ื•.

ืื™ืš ื–ื™ื›ืจื•ืŸ ืขื‘ื•ื“ื” ื—ืœืฉ ืžืฉืคื™ืข ืขืœ ื ื™ื”ื•ืœ ื”ืคื ืกื™ื”?

ืœืคื™ ื”ืžื•ื“ืœ ืฉืœ ื“"ืจ ืจืืกืœ ื‘ืืจืงืœื™, ื”ืœื™ื‘ื” ืฉืœ ADHD ื”ื™ื ืคื’ื™ืขื” ื‘ืชืคืงื•ื“ื™ื ื ื™ื”ื•ืœื™ื™ื, ื‘ืจืืฉื ื–ื™ื›ืจื•ืŸ ื”ืขื‘ื•ื“ื” (Barkley, 1997). ื”ืฉื•ื•ืื” ื‘ื™ืŸ ืžืกืœื•ืœื™ ื”ืฉืงืขื”, ื“ืžื™ ื ื™ื”ื•ืœ ื•ืชืฉื•ืื•ืช ื“ื•ืจืฉืช ื”ื—ื–ืงืช ื›ืžื” ืžืฉืชื ื™ื ื‘ื• ื–ืžื ื™ืช, ื‘ื“ื™ื•ืง ื”ืžืฉืื‘ ื”ื–ื”, ืžื” ืฉืžื•ื‘ื™ืœ ืœืชืฉื™ืฉื•ืช ื”ื—ืœื˜ื” ื•ืœื•ื•ื™ืชื•ืจ ืขืœ ื”ื”ืฉื•ื•ืื”.

ืžื”ื• "ืžืก ื”-ADHD" ื‘ื”ืงืฉืจ ืฉืœ ืคื ืกื™ื”?

ื–ื”ื• ื›ื™ื ื•ื™ ืงื”ื™ืœืชื™, ืœื ืžื•ื ื— ืงืœื™ื ื™, ืœืขืœื•ื™ื•ืช ื”ืžืฆื˜ื‘ืจื•ืช ืฉื ื•ื‘ืขื•ืช ืžืงืฉื™ื™ ืืจื’ื•ืŸ: ืงื ืกื•ืช ืขืœ ืื™ื—ื•ืจื™ื, ื”ื˜ื‘ื•ืช ืžืก ืฉืœื ื ื•ืฆืœื•, ื•ื‘ื™ื˜ื•ืœื™ ืคื•ืœื™ืกื•ืช ื‘ื™ื˜ื•ื— ื—ืฉื•ื‘ื•ืช. ื‘ื”ืงืฉืจ ื”ืคื ืกื™ื•ื ื™ ื”ื•ื ื›ื‘ื“ ื‘ืžื™ื•ื—ื“ ื›ื™ ื”ื—ืœืคืช ืžืงื•ืžื•ืช ืขื‘ื•ื“ื” ืชื›ื•ืคื” ื™ื•ืชืจ (Klein et al., 2012) ืžื™ื™ืฆืจืช ืงืจื ื•ืช ืคื ืกื™ื” ื ื˜ื•ืฉื•ืช ื•ืžืคื•ื–ืจื•ืช.

ืื™ืš ืžืืชืจื™ื ื•ืžืื—ื“ื™ื ืงืจื ื•ืช ืคื ืกื™ื” ืฉื”ืชืคื–ืจื• ื‘ื™ืŸ ืžืงื•ืžื•ืช ืขื‘ื•ื“ื”?

ืืชืจ "ื”ืจ ื”ื›ืกืฃ" ืฉืœ ืžืฉืจื“ ื”ืื•ืฆืจ ืžืืคืฉืจ ืœืืชืจ ืงืจื ื•ืช ื™ืฉื ื•ืช ืชื•ืš ื“ืงื•ืช. ืืช ื”ืื™ื—ื•ื“ ืขืฆืžื• ืžื‘ืฆืขื™ื ื‘ืืžืฆืขื•ืช ื”ืžืกืœืงื” ื”ืคื ืกื™ื•ื ื™ืช, ืฉืžืจื›ื–ืช ืืช ื”ื ืชื•ื ื™ื ื•ืžืืคืฉืจืช ื ื™ื•ื“ ืืœืงื˜ืจื•ื ื™ ื‘ื™ืŸ ืงืจื ื•ืช, ื‘ื“ืจืš ื›ืœืœ ื‘ืœื™ื•ื•ื™ ืกื•ื›ืŸ ืคื ืกื™ื•ื ื™ ืฉืžื’ื™ืฉ ืืช ื”ื‘ืงืฉื” ื‘ืžืงื•ืžื›ื.

ื”ืื ื”ื–ื ื—ื” ืคื ืกื™ื•ื ื™ืช ืืฆืœ ADHD ื”ื™ื ืจืง ืขื ื™ื™ืŸ ืฉืœ ืื•ืคื™ ื—ืœืฉ?

ืœื. ื‘ื™ืŸ 2.5% ืœ-4.4% ืžื”ืžื‘ื•ื’ืจื™ื ืขื•ืžื“ื™ื ื‘ืงืจื™ื˜ืจื™ื•ื ื™ื ืœ-ADHD (Kessler 2006; Fayyad 2007), ื•ืจื‘ื™ื ื ื•ืกืคื™ื ื—ื™ื™ื ืขื ืื•ืชื ืžื ื’ื ื•ื ื™ื ื‘ืœื™ ืื‘ื—ื•ืŸ. ืžื“ื•ื‘ืจ ื‘ืคืขืจ ื ื•ื™ืจื•ืœื•ื’ื™ ืžืชื•ืขื“, ืœื ื‘ื—ื•ืกืจ ืจืฆื•ืŸ, ื•ืœื›ืŸ ื”ืคืชืจื•ืŸ ื”ื•ื ืžื‘ื ื” ื—ื™ืฆื•ื ื™ ื•ืœื ื ื™ืกื™ื•ืŸ "ืœื”ืชืืžืฅ ื™ื•ืชืจ".

ื–ืื‘ ืกื•ื™ื‘ืœ
ืขืœ ื”ืžื—ื‘ืจ

ื–ืื‘ ืกื•ื™ื‘ืœ

ืกื•ื›ืŸ ื‘ื™ื˜ื•ื— ื•ืžืชื›ื ืŸ ืคื™ื ื ืกื™

ืกื•ื›ืŸ ื‘ื™ื˜ื•ื— ื•ืžืชื›ื ืŸ ืคื™ื ื ืกื™ ืขื ADHD ืžืื•ื‘ื—ืŸ, ื‘ืขืœ ื ื™ืกื™ื•ืŸ ืฉืœ ืžืขืœื” ืž-20 ืฉื ื” ื‘ืชื—ื•ื ื”ืคื ืกื™ื” ื•ื”ื‘ื™ื˜ื•ื—. ืžืœื•ื•ื” ืื ืฉื™ื ืขื ื”ืคืจืขืช ืงืฉื‘ ื‘ื‘ื ื™ื™ืช ืžืขืจื›ืช ืคื™ื ื ืกื™ืช ืฉืžืชืื™ืžื” ืœืื•ืคืŸ ืฉื‘ื• ื”ืžื•ื— ืฉืœื”ื ื‘ืืžืช ืขื•ื‘ื“.

ืจื•ืฆื™ื ืœืฆืืช ืžื”ืžื‘ื•ืš ื”ืคื ืกื™ื•ื ื™?

ื”ืฉืื™ืจื• ืคืจื˜ื™ื ื•ื–ืื‘ ื™ื—ื–ื•ืจ ืืœื™ื›ื ืœืฉื™ื—ืช ื”ื™ื›ืจื•ืช ืงืฆืจื”, ืœืœื ืขืœื•ืช ื•ืœืœื ื”ืชื—ื™ื™ื‘ื•ืช.

ืžืœืื• ืืช ื”ืคืจื˜ื™ื ื•ื ืฆื™ื’ ืžืงืฆื•ืขื™ ื™ื—ื–ื•ืจ ืืœื™ื›ื