智力残疾青年的早发性精神病。
Early-onset psychosis in youth with intellectual disability.
作者信息
Friedlander R I, Donnelly T
机构信息
University of British Columbia, British Columbia, Canada.
出版信息
J Intellect Disabil Res. 2004 Sep;48(Pt 6):540-7. doi: 10.1111/j.1365-2788.2004.00622.x.
BACKGROUND
Accurate diagnosis of psychotic disorders may be very difficult in youth with intellectual disabilities.
METHOD
The authors reviewed the assessment, treatment and follow-up of 21 youths with ID referred because of early onset of psychotic symptoms.
RESULTS
Just over one half of the patients had a diagnosis of schizophrenia or schizoaffective disorder. One third of the sample carried the diagnosis of psychosis NOS (not otherwise specified). After careful review, five out of seven of these psychotic-like cases were assessed as non-psychotic. Patients with Psychosis NOS associated with moderate or severe ID had the worst outcome.
CONCLUSION
This clinical review provides important information about the identification, diagnosis and outcome of psychotic symptoms in youth with low verbal abilities.
背景
对于患有智力障碍的青少年而言，准确诊断精神障碍可能非常困难。
方法
作者回顾了21名因早期出现精神症状而转诊的智力障碍青少年的评估、治疗及随访情况。
结果
略超过半数的患者被诊断为精神分裂症或分裂情感性障碍。三分之一的样本被诊断为未特定的精神病性障碍（NOS）。经过仔细复查，这些类精神病性病例中有七分之五被评估为非精神病性。与中度或重度智力障碍相关的未特定的精神病性障碍患者预后最差。
结论
这项临床回顾提供了关于语言能力低下的青少年精神症状的识别、诊断及预后的重要信息。
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