在患有自闭症和多动症儿童中同时出现的焦虑
Molly Daffner-Deming1, Devina Savant2, Aqila Blakey-Armstrong3
1The Baker Center for Children and Families, Boston, MA.
概括
本案例研究探讨了在一个11岁的男孩身上管理自闭症和多动症. 它强调了心理药理学的挑战,以及综合行为和神经心理支持对复杂病例的重要性.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿科精神病学 在儿童精神病学方面.
- 临床案例研究研究.
背景情况:
- 一个11岁的自闭症男孩患有注意力缺陷/多动障碍 (ADHD) 呈现出复杂的并发症.
- 以前对ADHD的药物试验显示出混合的结果,其中一些加剧了行为问题或引起副作用.
研究的目的:
- 描述一个患有自闭症谱系障碍 (ASD) 和ADHD的孩子管理的诊断和治疗挑战.
- 探索神经心理评估,行为干预和心理药理学在复杂儿科病例中的整合.
主要方法:
- 病例报告详细介绍了诊断评估,药物试验和治疗调整.
- 发展行为儿科医生,神经心理学家和精神病学家之间的合作.
- 实施行为监测计划,以区分ADHD和焦虑症状.
主要成果:
- 最初的ADHD药物 (dextroamphetamine-amphetamine) 改善了注意力,但引发了自我伤害行为,并没有完全解决焦虑.
- 扣留ADHD药物改善了情绪,但恶化了多动性和增加了与焦虑相关的外部化行为.
- 使用德克斯胺-安非他胺和埃斯基塔洛普拉姆的联合治疗减少了焦虑和攻击性,但持续的注意力缺失仍然存在.
结论:
- 管理同时出现的ASD和ADHD需要一个细微的,多学科的方法.
- 谨慎的精神药物管理至关重要,往往需要组合疗法.
- 综合行为和神经心理支持对于优化复杂儿科神经发育病例的结果至关重要.
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