年轻人跨诊断性易怒:临床综述
Luiza Magalhaes de Oliveira1, Guilherme V Polanczyk1, Luisa Shiguemi Sugaya1
1Universidade de São Paulo (FMUSP), Faculdade de Medicina, Departamento de Psiquiatria, São Paulo, SP, Brazil.
Jornal de pediatria
|October 14, 2025
概括
儿科易怒是一种常见的担忧,与以后的心理健康问题有关. 目前的治疗方法有限,这凸显了对儿童病因和有效干预措施的更多研究的需要.
科学领域:
- 儿科心理健康 儿科心理健康
- 儿童精神病理学 儿童精神病理学
- 跨诊断构造的是跨诊断的构造.
背景情况:
- 易怒是儿童常见的心理健康问题.
- 它预测了长期的精神病理和负担.
- 非插曲性易怒是一种跨诊断的构造.
研究的目的:
- 提供对儿童非偶发性易怒症的综合性审查.
- 为儿科护理专业人员提供基于证据的临床建议.
主要方法:
- 一个叙事的文学评论从过去的10年和关键的额外研究.
- 考虑观察性研究,随机对照试验,系统审查和元分析.
主要成果:
- 非插曲性易怒与多种精神障碍有关,包括注意力缺陷/多动障碍 (ADHD) 和抑郁症.
- 基于证据的治疗方法是有限的;心理社会干预和兴奋剂 (对于并发性ADHD) 是有前途的.
- 抗精神病药物对患有自闭症谱系障碍的儿童的烦躁症有效,但在其他年轻人中需要谨慎.
结论:
- 关于非插曲性易怒性的研究正在增加,但仍处于新生阶段.
- 进一步的研究对于理解机制,改善临床识别和开发有效治疗至关重要.
- 在儿科护理中,适当的临床关注易怒是必不可少的.
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