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针对寄宿治疗机构中发现的主要精神疾病的儿童精神药理学。

Pediatric psychopharmacology for the major psychiatric disorders found in the residential treatment setting.

作者信息

Shoaf Thomas L

机构信息

Division of Child and Adolescent Psychiatry, University of Chicago, IL 60637, USA.

出版信息

Child Adolesc Psychiatr Clin N Am. 2004 Apr;13(2):327-45. doi: 10.1016/S1056-4993(03)00121-4.

Abstract

Intensive measures of rehabilitation are effective for treating the chronic course of the major pediatric psychiatric diagnoses. The treatment of these dis-orders in a residential treatment setting involves a coordinated team approach with components individually tailored to meet patient needs. Whereas milieu,group, and individual psychotherapy are important aspects of treatment, along with educational programming and behavior management, psychopharmacology currently plays an integral role in the treatment of children and adolescents with chronic mental illness in the residential treatment setting. Pharmacologic interventions in chronic psychiatric illnesses have decreased suffering and improved the quality of life for countless children and adolescents. In many cases, we still do not know what kind of pharmacologic treatment is best for each individual patient. Despite the progress of the past decade, further clinical research is needed with well-designed clinical trials for chronic psychiatric illnesses in children and adolescents.

摘要

强化康复措施对于治疗主要的儿童期精神疾病的慢性病程是有效的。在住院治疗环境中对这些疾病的治疗采用多学科协作的团队方法,各组成部分会根据患者需求进行个性化调整。虽然环境、团体和个体心理治疗是治疗的重要方面,再加上教育规划和行为管理,但目前精神药理学在住院治疗环境中对患有慢性精神疾病的儿童和青少年的治疗中发挥着不可或缺的作用。对慢性精神疾病的药物干预减轻了无数儿童和青少年的痛苦,提高了他们的生活质量。在许多情况下,我们仍然不知道哪种药物治疗对每个患者是最佳的。尽管在过去十年中取得了进展,但仍需要针对儿童和青少年慢性精神疾病开展精心设计的临床试验进行进一步的临床研究。

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