唐氏综合症患者的自我谈话:什么时候是令人担忧的?
Kerry K Prout1,2, Jacqueline Kitchen2,3, Lindsay Tobler1,2
1Division of Developmental and Behavioral Health, Children's Mercy Kansas City, Kansas City, MO.
概括
一个患有唐氏综合征的12岁男孩经历了自我谈话的恶化,焦虑和行为变化. 环境压力因素可能加剧了他的症状,需要差异诊断.
科学领域:
- 儿科神经学 儿科神经学
- 发展心理学 发展心理学
- 遗传学 是一个遗传学.
背景情况:
- 一个12岁的男孩患有三发性21号,甲状腺功能低下和听力损失,表现出增加的问题自我谈话.
- 以前被认为是外化自言自语,这种行为在6个月内加剧,专注于外化自言自语.
- 坏人,坏人,坏的人.
- , , , 这是一个很好的方法.
- 这伴随着皮肤,基本的艺术品,睡眠障碍和听觉幻觉 (
- 在墙上低声说话.
- ) 的情况.
研究的目的:
- 探索患有唐氏综合征的儿童,表现出新出现的行为和心理变化的潜在差异诊断.
- 确定复杂儿科病例临床护理的适当下一步.
主要方法:
- 对一个患有21号三体的12岁男孩的案例研究分析.
- 审查家长和教师关于行为变化,自我对话内容和环境压力因素的报告.
- 考虑病史,包括甲状腺功能低下症和听力损失.
主要成果:
- 孩子的自言自语升级,伴随着焦虑症状和艺术表达的回归.
- 听觉幻觉和关注听觉幻觉和关注听觉幻觉和关注听觉幻觉.
- 坏人,坏人,坏的人.
- 建议从典型的外部化自我对话进行潜在的转变.
- 一个涉及汽车入侵的邻里事件被确定为潜在的环境压力因素.
结论:
- 呈现的症状需要进行彻底的差异诊断,而不仅仅是唐氏综合征的年轻人典型的外部化自我对话.
- 进一步调查至关重要,以排除焦虑障碍,创伤相关症状或其他精神疾病.
- 建议采用多学科的方法进行全面的评估和干预计划.
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