我们都错了关于暂时性滴答障碍.
Sarah C Grossen1, Amanda L Arbuckle2, Emily C Bihun2
1Departments of Psychiatry and Neurology, Washington University in St. Louis, St. Louis, MO, United States of America.
Comprehensive psychiatry
|June 28, 2024
概括
儿童的临时性滴滴障碍 (PTD) 通常比以前认为的更加持久和复杂,挑战了短期和慢性滴滴障碍之间的传统区别.
科学领域:
- 儿童神经学 儿童神经学
- 神经发育障碍 神经发育障碍
- 儿科医生精神病学 儿科精神病学
背景情况:
- 暂时性滴滴障碍 (PTD) 在儿童时期很常见.
- 临床经验表明,PTD是轻微而短暂的,有很少的,并具有较低的并发症.
- 这种看法可能源于先前观察中的偏见确定和有限的后续调查.
研究的目的:
- 为了调查儿童临时性病的自然史和临床特征.
- 挑战传统的临床区分最近出现的和慢性动障碍之间的区别.
主要方法:
- 对89名在9个月内出现的儿童进行前性研究.
- 在第一次感染后的12,24,36和48个月后进行后续评估.
- 包括患有多种症和并发症的儿童,从临床和非临床来源收集数据.
主要成果:
- 在发病时,许多儿童患有诸如ADHD (39%),焦虑症 (27%) 和强迫症 (9%) 等并发症.
- 大多数儿童出现多发性 (平均6.9发动机,2.0发声),复杂性 (41%) 和可抑制性 (69%).
- 在12个月后,78/79名儿童仍然有,经常持续但对医疗影响较小;许多只通过监测观察到.
结论:
- 研究结果挑战了临床传统,即PTD通常是轻微和短暂的.
- 数据支持停止任意分离滴答障碍,将其分为近期发病和慢性类别.
- PTD可能代表一种比传统认为的更持久的神经发育状况.
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