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在患有唐氏综合征的儿童和青少年中表征重复行为
E Fucà1, F Costanzo1, S Vicari1,2
1Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Journal of intellectual disability research : JIDR
|August 6, 2024
概括
限制性和重复性行为 (RRBs) 在患有唐氏综合征 (DS) 的儿童和青少年中很常见. 这些行为与睡眠问题,情绪问题以及较低的认知和语言能力有关.
科学领域:
- 神经发育障碍 神经发育障碍
- 遗传学和人类疾病
- 精神病学是一个精神病学.
背景情况:
- 包括唐氏综合征 (DS) 患者在内的智力残疾人经常表现出限制性和重复性行为 (RRB).
- 患有DS的儿童和青少年的RRB仍未得到充分描述.
- 了解DS中的RRB对于有针对性的干预至关重要.
研究的目的:
- 在患有唐氏综合征 (DS) 的儿童和青少年队列中全面描述RRB.
- 研究RRB与多种临床,认知和语言因素之间的关联.
- 为DS患者提供临床评估和支持策略.
主要方法:
- 研究了一组151名患有DS的4至18岁的参与者.
- 修订的重复性行为尺度 (RBS-R) 用于评估RRBs.
- 收集了有关认知功能,适应能力,语言,睡眠和情绪/行为问题的数据.
主要成果:
- 最常见的RRB与相似性和仪式行为有关;自我伤害行为较少发生.
- 与年轻儿童相比,青少年在更高水平的RRB中得分更高.
- RRB与睡眠困难,内化/外化问题,较低的智商和较差的语言能力有关.
结论:
- 患有DS的儿童和青少年的RRB具有显著的临床影响.
- RRB与其他临床维度之间的关联凸显了全面评估的必要性.
- 对患有DS的年轻人进行的心理和神经精神评估应包括详细的RRB评估.
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