共同点:我们可以全面治疗儿科和精神病并发症
Jay A Salpekar1,2,3, D Dilara Ertenu3
1Department of Psychiatry, Johns Hopkins University School of Medicine, Kennedy Krieger Institute, Baltimore, MD, USA.
Epilepsy currents
|November 15, 2024
概括
和精神疾病经常同时发生,特别是在儿童中. 需要一种统一的神经精神病学方法来改善对这些复杂病例的护理.
科学领域:
- 神经科学是一个神经科学.
- 儿童精神病学 儿童精神病学
- 儿科神经学 儿科神经学
背景情况:
- 和精神疾病越来越多地被认为是同时发生的疾病.
- 在患有的儿童中,精神疾病的过度代表性显著,包括自闭症谱系障碍,焦虑,抑郁症和ADHD.
- 精神病学和神经病学之间的传统分离导致了儿童患者和同时出现的神经精神病症状的细分护理.
研究的目的:
- 突出了儿科和神经精神病症状之间的复杂相互作用.
- 倡导一个统一的神经精神病学范式来解决这些同时发生的条件.
- 讨论改善患有及相关精神疾病的儿童护理的实际策略.
主要方法:
- 本研究是对现有文献和临床观察的审查和讨论.
- 它综合了当前对儿童和精神疾病共享病理生理学和临床表现的理解.
- 该论文提出了一个综合护理的框架.
主要成果:
- 儿科经常与自闭症谱系障碍,焦虑,抑郁和多动症等疾病的更高患病率有关.
- 当前精神病医生和神经病学家之间的分工往往导致受影响的儿童和家庭的医疗护理破裂和低于最佳水平.
- 病理生理学可能存在显著的重叠,尽管它尚未完全阐明.
结论:
- 神经精神病学方法对于有效管理患有和并发精神病症状的儿童至关重要.
- 综合护理模式可以改善受这些复杂疾病影响的儿童和家庭的生活质量.
- 需要实用策略来弥合精神病和神经病治疗之间的差距.
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