性别失调的青少年的功能性状行为:一个案例系列
Christopher Paul Manbeck1, Debopam Samanta1
1Division of Child Neurology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Pediatric neurology
|February 10, 2026
概括
患有性别障碍症的青少年的功能性状行为 (FTLB) 经常表现出复杂的运动和声音症状. 在这个案例系列中,综合心理健康护理导致FTLBs的完全解决,并改善了精神病学稳定性.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 青少年医学 青少年医学
背景情况:
- 功能性状行为 (FTLB) 与图雷特综合征不同,其特征是突然发作和复杂的现象.
- 在COVID-19大流行期间,FTLB的增加发生了,特别是在出生时被分配为女性的青少年和那些有性别失调的青少年中.
- 有限的数据存在于青少年的FTLBs与同时存在的性别障碍症.
研究的目的:
- 描述患有FTLB和性别失调的青少年的临床特征,并发症,治疗方法和结果.
- 突出FTLB和儿童群体中的性别障碍症的交叉点.
主要方法:
- 18岁以下患者的回顾性审查,突然出现复杂的状行为和性别障碍症.
- 收集的数据包括人口统计,现象学,并发病,治疗和结果.
- 这项研究是在2022年1月至2023年12月期间在图雷特卓越中心进行的.
主要成果:
- 9名患者 (平均年龄15岁) 符合标准;89%在出生时被分配为女性,所有白人/高加索人.
- FTLB现象学包括依赖上下文的运动和声乐行为,症状波动.
- 观察到普遍的精神病并发症 (焦虑,抑郁,多动症,自杀念头);所有患者在治疗后实现了完全或几乎完全的FTLB解脱.
结论:
- 在青少年中,FTLB和性别障碍症呈现出独特的临床交叉点.
- 多学科,综合精神健康护理对于这一群体至关重要.
- 早期识别和全面的精神病治疗与有利的长期结果有关.
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