同病性和刻板印象:一个系统的文献综述
Andrea E Cavanna1,2,3,4, Giulia Purpura5, Anna Riva5,6
1Department of Neuropsychiatry, National Centre for Mental Health, BSMHFT and University of Birmingham, 25 Vincent Drive, Birmingham, B15 2FG, UK. a.e.cavanna@bham.ac.uk.
概括
提克和刻板印象经常在患者中同时发生,影响诊断和治疗. 了解这种并发症对于有效管理这些童年开始的重复性行为至关重要.
科学领域:
- 神经学 神经学
- 儿童精神病学 儿童精神病学
- 运动障碍 运动障碍
背景情况:
- 滴答和刻板印象是常见的童年开始的重复行为.
- 这些超运动性疾病带来了诊断挑战,并具有复杂的并发症概况.
- 在同一个患者中,滴答和刻板印象的同时出现是不明确的.
研究的目的:
- 系统地审查有关在共患病的表现中提克和刻板印象之间的关系的文献.
- 评估当这两种情况同时发生时的患病率和相关性.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 包括原始研究,调查并发性滴答和刻板印象.
- 选择了至少有40个样本的大小的研究.
主要成果:
- 六项研究符合纳入标准.
- 23%的患有刻板印象运动障碍的患者患有并发性 (范围为18-43%).
- 8%的患有滴滴障碍的患者,如图雷特综合征,具有初级刻板印象 (范围为6-12%).
结论:
- 提克和刻板印象经常同时发生,需要在临床实践中加以考虑.
- 这种并发症对不同的治疗方法有影响.
- 未来的研究应该针对特殊人群的评估和管理,包括那些患有普遍发育障碍的人群.
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