患有严重精神疾病和复杂非体质运动异常的年轻人:相互矛盾的概念和不平等的待遇
Peter Andersson1,2, Lee E Wachtel3, Johan Lundberg4,5
1Department of Clinical Neuroscience/Psychology, Karolinska Institute, Stockholm, Sweden.
Npj mental health research
|July 31, 2023
概括
儿科急性发作的神经精神综合征 (PANS) 和儿科共享症状,但治疗方法优越. 在PANS病例中识别catatonia可能会改善患有这些严重疾病的年轻人的结果.
科学领域:
- 儿童和青少年精神病学
- 神经精神病学是一种神经精神病学.
- 运动障碍 运动障碍
背景情况:
- 儿科急性发病神经精神综合征 (PANS) 和儿科猫头是针对患有急性运动异常和严重精神症状的青少年的不同诊断概念.
- 这两个条件在欧洲和美国都有机构认可,需要对它们的支持证据进行比较分析.
研究的目的:
- 为了比较儿科急性发病神经精神综合征 (PANS) 和儿科猫头的证据基础.
- 为了调查PANS和catatonia诊断标准之间的重叠.
- 评估儿童群体中两种疾病的治疗疗效.
主要方法:
- 定性和定量文献分析.
- 分析瑞典国家注册数据.
- 诊断标准和治疗结果的比较.
主要成果:
- 阴性病患者经常符合PANS的诊断标准.
- 三个PANS病例表现出暗示未被识别的catatonia的迹象.
- 在瑞典的未成年人中,和电治疗的使用有很强的相关性,并且在各县分布不均.
- 已确定的严重精神障碍在PANS研究中代表性不足.
- 与儿童和青少年的PANS治疗相比,儿科性白内障治疗显示出更好的结果.
结论:
- 在PANS和儿科病 Catatonia之间存在显著的诊断重叠.
- 目前的PANS研究可能忽略了catatonia.
- 在相关病例中优先考虑儿科白内障治疗,可以显著改善患者的治疗结果.
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