低水平的暴露会损害前沿执行功能:呼吁更新DSM-5以中毒作为神经发育障碍来更新DSM-5
Lorenz S Neuwirth1,2, Oscar E Lopez1,2, Jay S Schneider3
1SUNY Old Westbury, Department of Psychology, Old Westbury, NY 11568, USA.
Psychology & neuroscience
|June 12, 2023
概括
儿童接触会导致大脑损伤,导致前额执行功能障碍 (FED). 本次审查建议将中毒在DSM-5中归类为神经发育障碍,以获得更好的诊断和资源.
科学领域:
- 神经科学是一个神经科学.
- 环境健康 环境健康
- 精神病学是一个精神病学.
背景情况:
- (Pb2+) 暴露仍然是一个重要的公共卫生问题,影响数百万儿童.
- 血水平表明吸收和潜在的分布在整个身体.
- 大脑是毒性的关键目标器官.
研究的目的:
- 审查证据,将暴露与前部执行功能障碍 (FED) 联系起来.
- 争辩将中毒纳入神经发育障碍分类中的DSM-5.
- 突出DSM-5纳入对诊断,资源和研究的潜在影响.
主要方法:
- 关于暴露和神经发育影响的研究文献综述.
- 综合证据证明对大脑的影响.
- 基于科学发现的重新分类的论证.
主要成果:
- 几十年的研究证实,大脑是有害效应的主要目标.
- 暴露与前部执行功能障碍 (FED) 有着强烈的关联.
- 目前的证据支持将中毒归类为神经发育障碍.
结论:
- 中毒严重影响认知功能,特别是儿童的执行功能.
- 在DSM-5中将中毒重新归类为神经发育障碍是有必要的.
- 将其纳入DSM-5可以提高诊断的接受度和获得干预措施和研究资金的机会.
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