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[儿童和青少年社交恐惧症]

[Social phobia in children and adolescents].

作者信息

Dabkowska Małgorzata

机构信息

Kliniki Psychiatrii AM w Bydgoszczy.

出版信息

Psychiatr Pol. 2004 Jul-Aug;38(4):589-602.

Abstract

Epidemiological data indicate that anxiety disorders are the most common childhood disorders. 1% of children and adolescents suffer from social phobia and it may influence further adult life. The aim of the article is to show differences of child and adolescent social phobia and its diagnostic criteria. Contrast and distinction of childhood social phobia symptoms are also shown, such as risk factors of appearance of childhood social phobia. The article presents main therapeutic methods--psychotherapy and pharmacotherapy applied to children with phobia and difficulties with estimating efficacy of the particular therapy in this group of patients. Phobic children perceive surroundings more negatively. They have reduced estimations of their own competency to cope with danger. They also show cognitive impairments of ambiguous situations. As much as 60% children with social phobia suffer from a second, concurrent disorder. Widening of information about symptoms and therapeutic methods may reduce the intensity of the disorder during adulthood.

摘要

流行病学数据表明,焦虑症是最常见的儿童期疾病。1%的儿童和青少年患有社交恐惧症,这可能会影响他们未来的成年生活。本文的目的是展示儿童和青少年社交恐惧症的差异及其诊断标准。同时还展示了儿童社交恐惧症症状的对比和区别,例如儿童社交恐惧症出现的风险因素。本文介绍了主要的治疗方法——心理治疗和药物治疗,这些方法适用于患有恐惧症的儿童,以及评估这组患者中特定治疗效果的困难。患有恐惧症的儿童对周围环境的看法更为消极。他们对自己应对危险的能力估计较低。他们在处理模糊情况时也表现出认知障碍。多达60%的社交恐惧症儿童还患有另一种并发疾病。增加对症状和治疗方法的了解可能会减轻成年期该疾病的严重程度。

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