捏造されたまたは誘発された子供の病気の早期認識と管理
Christopher Bass1, Danya Glaser2
1Department of Psychological Medicine, John Radcliffe Hospital, Oxford, UK.
Lancet (London, England)
|March 12, 2014
まとめ
捏造されたまたは誘発された病気は,介護者が子供のために不必要な医療を求めるときに発生します. 小児科医による早期の認識と介入は,子どもにとって極めて重要です.
科学分野:
- 小児の健康に関する小児保健
- 児童虐待 児童虐待について
- メンタルヘルス メンタルヘルス
背景:
- 捏造または誘発された病気 (FII),以前は代理でムンシャウゼン症候群,介護者が子供に病気を捏造または誘発することを含む.
- 介護者の欺瞞は重要な特徴ですが,臨床的に観察される行動の範囲はより広いです.
- FIIは,子供の身体的,心理的な健康に深刻な影響を及ぼします.
研究 の 目的:
- 捏造または誘発された病気に関与する介護者の特徴,効果,および心理社会的特徴をレビューする.
- 小児科医による早期発見と管理の重要性を強調する.
- 子供と介護者の双方の管理戦略について話し合う.
主な方法:
- 介護者の臨床的プレゼンテーションと心理社会的プロフィールのレビュー.
- 介護者における体形および偽の疾患に関する証拠の分析.
- 異常な病気の行動の世代間伝播の検討.
主要な成果:
- 介護者はしばしばソマトフォームおよび偽の障害を示し,病気の世代間伝播の可能性があります.
- 早期の小児科医による認識は,FII.の完全な発達を防ぐことができます.
- 子どもの保護と治療支援は,被災した子どもにとって不可欠です.
結論:
- 効果的な管理には,虐待行為に対する介護者の認識と,機関との協力を取り扱う必要があります.
- 病院の多学科ネットワークは,積極的なFII管理のために推奨されます.
- 更に研究が必要であり,特にソマトフォーム/虚偽疾患の介護者について,異常な病気の行動に子どもを巻き込む研究が必要である.
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