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由于转化障碍 (功能性神经症状障碍) 的 agraphia 在一个8岁的男孩:一个案例报告
Nhu Minh Hang Tran1, Tran Tuan Anh Le1, Vu Quoc Huy Nguyen1
1Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
Frontiers in psychiatry
|November 10, 2025
概括
儿科转化障碍,表现为神经症状而没有身体原因,可以有效治疗. 心理干预和解决家庭动态迅速改善了一个8岁男孩的症状.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 儿科神经学 儿科神经学
- 精神病体医学是一种精神病体医学.
背景情况:
- 转化障碍是一种罕见的儿童精神疾病,表现为神经症状,没有可识别的有机原因.
- 它可以显著损害孩子的日常功能和学业成绩.
- 儿科病例往往涉及复杂的社会心理压力因素.
研究的目的:
- 报告一名8岁男孩患有儿科转化障碍的病例.
- 为了说明诊断挑战和治疗方法.
- 突出心理因素和家庭动态的作用.
主要方法:
- 进行了包括MRI,EEG和EMG在内的综合神经检查.
- 心理评估确定了诸如学术要求和社会隔离等压力因素.
- 治疗包括游戏疗法,认知疗法和家长指导.
主要成果:
- 广泛的神经学评估排除了有机异常.
- 症状持续直到开始心理干预.
- 在开始治疗后的几天内,观察到快速改善症状.
- 在20个月的随访期间,实现了持续的康复和成功的学校重新融入.
结论:
- 儿科转化障碍可能是由学业压力和心理防御机制引发的.
- 从住宿中获得的次要收益可以使症状延续.
- 定制的心理干预和解决家庭动态对于有效的治疗和持续的康复至关重要.
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