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自闭症,精神病和猫的同时发生:一个范围的审查
Johan Nyrenius1,2,3, Eric Zander4,5,6, Mohammad Ghaziuddin7
1Department of Psychiatry, Skåne University Hospital, Helsingborg, Sweden. johan.nyrenius@skane.se.
这篇综述强调了当自闭症,精神病和catatonia同时发生时的诊断和治疗挑战. 需要更多的研究来区分这些疾病,并制定有效的治疗策略.
科学领域:
- 精神病学是一个精神病学.
- 神经发育障碍 神经发育障碍
- 临床心理学 临床心理学
背景情况:
- 自闭症,精神病,和catatonia在历史上与精神分裂症有关.
- 自闭症和猫头现在是不同的诊断,但与精神病的同时发生仍然是一个诊断挑战.
- 重叠的特征使得准确的诊断和有效的治疗变得复杂.
研究的目的:
- 审查现有的关于自闭症,精神病和catatonia的共同发生的文献.
- 识别与这些重叠疾病相关的诊断和治疗挑战.
- 突出当前研究中的差距,并建议未来的方向.
主要方法:
- 进行了对同行评审文章的范围审查.
- 在MedLine,Scopus,PsycInfo和Cinahl数据库中进行了搜索.
- 包括描述所有三个诊断构造的研究,其次是定性内容分析 (QCA).
主要成果:
- 17篇文章符合纳入标准,主要是案例报告 (65%).
- 许多研究缺乏精神病的详细诊断程序,特别是在自闭症和catatonia同时发生的自闭症中.
- 治疗结果报告各不相同,QCA揭示了差异诊断和治疗的重大不确定性.
结论:
- 迫切需要采用结构化诊断方法进行更大规模的研究.
- 开发更好的方法来区分自闭症,精神病和猫色症是必不可少的.
- 需要对混合呈现的治疗试验和算法.
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