选择性沉默的长期结果:一个系统的文献综述
Miina Koskela1,2,3, Tiia Ståhlberg4,5,6, Wan Mohd Azam Wan Mohd Yunus4,5,7
1Research Centre for Child Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, University of Turku, Turku, Finland. miikosy@utu.fi.
BMC psychiatry
|October 24, 2023
概括
大多数有选择性沉默症 (SM) 的儿童在青春期恢复. 然而,其他焦虑障碍可能会在晚年发展,这强调了对MS的早期干预的需要.
科学领域:
- 儿童和青少年精神病学
- 焦虑症 焦虑症 焦虑症
- 发展心理学 发展心理学
背景情况:
- 选择性沉默 (SM) 是一种起源于儿童时期的焦虑障碍,其特点在于在特定的社交场合持续无法说话.
- 关于SM的长期持续时间和结果的知识有限.
- 这一系统性审查解决了对SM症状持续性和随之而来的精神疾病在晚年生活中的理解的差距.
研究的目的:
- 系统地审查有关选择性沉默症的持续时间和长期精神病学结果的文献.
- 在被诊断为MS的个体中调查MS症状和相关疾病的持续性.
主要方法:
- 通过使用PubMed,PsycInfo,Web of Science,Cochrane图书馆和Embase数据库进行了系统的文献审查,直到2023年9月.
- 包括的研究涉及对临床诊断的MS受试者进行至少两年的随访,并以英语出版.
- 审查遵循PRISMA指导方针,协议注册在开放科学框架上,研究质量使用多元研究质量评估工具进行评估.
主要成果:
- 该审查分析了18项研究 (9项临床队列,2项病例控制研究),涉及292名受试者,总体研究质量中等.
- 康复率表明,在243名受试者中,有190人在随访期间从MS中显示出中度或总的改善.
- 其他焦虑障碍是晚年最常见的精神病并发症,尽管这些发现需要谨慎的解释.
结论:
- 大多数MS患者在青春期经历恢复.
- 焦虑障碍对有MS病史的个人来说是一个显著的长期结果.
- 早期检测和干预对于预防症状持续和随后精神疾病的发展至关重要.
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