精神分裂症在自闭症的人与智力障碍. 治疗和干预措施
Trine Lise Bakken1, Jane Margrete Askeland Hellerud2, Arvid Nikolai Kildahl2
1Oslo University Hospital, Oslo, Norway. uxtlba@ous-hf.no.
Journal of autism and developmental disorders
|February 23, 2024
概括
患有智力障碍和精神分裂症的自闭症个体在治疗后表现出减少的症状. 针对这种双重诊断的干预措施在专门的心理健康服务中似乎是有效和可行的.
科学领域:
- 神经发育障碍 神经发育障碍
- 精神疾病 精神疾病
- 临床心理学 临床心理学
背景情况:
- 自闭症谱系障碍 (ASD) 和智力障碍 (ID) 与精神分裂症的风险增加有关.
- 有限的研究存在于治疗ID的自闭症个体同时发生的精神分裂症.
- 目前的建议往往适应一般的精神分裂症治疗方法,缺乏针对这一群体的特异性.
研究的目的:
- 探索在专业精神卫生服务中用于ID和共发生精神分裂症的自闭症个体的干预措施.
- 通过评估心理健康症状的变化和具有挑战性的行为来调查治疗的有效性.
主要方法:
- 一项纵向的国家多中心研究分析了26名患有智障和精神分裂症的自闭症个体的数据.
- 干预措施包括住院护理,心理药理学,心理社会和支持性治疗.
- 使用自闭症心理病学检查清单 (PAC) 和异常行为检查清单 (ABC) 在基线,治疗后和随访时测量症状严重程度.
主要成果:
- 对参与者进行了广泛的干预.
- 从基线到治疗后观察到PAC和ABC分数的显著降低.
- 从治疗后到12个月的随访期间,症状水平保持稳定.
结论:
- 在具有智力障碍的自闭症个体中,同时发生的精神分裂症的治疗是可行的.
- 目前的治疗方法在减少精神病症状和挑战性行为方面表现出有效性.
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