对于TikTokticks来说,时间正在流逝:在COVID-19后的隔离时代进行的一项回顾性后续研究
Kinga K Tomczak1, Jennifer Worhach1, Michael Rich2
1Tic Disorders and Tourette Syndrome Program, Department of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Brain and behavior
|March 12, 2024
概括
青少年的功能性状行为 (FTLBs) 在COVID-19大流行期间经常得到改善,无论如何治疗. 对心理健康问题和其他功能障碍的持续评估对于全面的患者护理至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 儿科 儿科 儿科
背景情况:
- 功能性状行为 (FTLB) 的急性发作在COVID-19大流行期间在全球青少年中急剧增加.
- 心理社会因素,隔离后的结果和这些病例的治疗管理需要彻底调查.
研究的目的:
- 评估与青少年FTLBs发病相关的心理社会因素.
- 确定疫情隔离协议解除后的结果.
- 检查各种治疗和药物管理策略的有效性.
主要方法:
- 对56名青少年 (10-18岁) 患有新发性FTLBs的患者进行了回顾性审查.
- 评估人口因素,病史和接受的治疗.
- 使用临床全球印象改善 (CGI-I) 和严重程度 (CGI-S) 尺度对患者结果的评估.
主要成果:
- 发现并发性焦虑 (93%) 和抑郁症 (71%) 的高患病率;96%的患者出生时被分配为女性.
- 高达79%的患者表现出FTLB和整体功能改善,独立于治疗或并发症.
- 与其他干预措施相比,TIC特异性治疗没有表现出优越的疗效;一些患者经历了持续的精神症状.
结论:
- 青少年的FTLB经常显示出改善,突出显示出独特的病理生理学.
- 对患者的整体功能和同时出现的心理健康或功能神经系统疾病的持续警是必不可少的.
- 对心理社会贡献者和量身定制的治疗方案进行进一步的研究是必要的,以获得最佳的青少年护理.
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