Von Folsach Liv Lyngå, Montgomery Edith
Rehabilitation and Research Centre for Torture Victims, Denmark.
Clin Child Psychol Psychiatry. 2006 Jul;11(3):457-73. doi: 10.1177/1359104506064988.
A number of asylum-seeking children in Sweden have developed a pervasive loss of function associated with profound social withdrawal. The syndrome is called Depressive Devitalization. The aim of this study was to identify possible aetiological factors, outline the similarities between Depressive Devitalization and Pervasive Refusal Syndrome and to explore possible differential diagnoses. The research was based on a literature study. Databases searched included PsychINFO, Medline, Pub med, COCHRANE and PILOTS. Possible aetiological factors identified included: Children having a perfectionist, ambitious and conscientious premorbid personality, psychiatric problems of children and parents, and traumatic events. Symptoms between the two syndromes differed only in pattern of refusal and neurological symptoms. None of the differential diagnoses explored could account for all features. The individual impact of aetiological factors requires further investigation. Children might previously have been diagnosed with a number of differential diagnoses, though none of these accounts for all symptoms seen in the syndromes. Depressive Devitalization and Pervasive Refusal Syndrome are suggested to be subgroups of the same refusal syndrome.
瑞典一些寻求庇护的儿童出现了与严重社交退缩相关的广泛功能丧失。这种综合征被称为抑郁性活力丧失。本研究的目的是确定可能的病因因素，概述抑郁性活力丧失与广泛性拒绝综合征之间的相似之处，并探索可能的鉴别诊断。该研究基于文献研究。搜索的数据库包括心理信息数据库（PsychINFO）、医学索引数据库（Medline）、医学期刊数据库（Pub med）、考克兰系统评价数据库（COCHRANE）和心理学与语言行为学数据库（PILOTS）。确定的可能病因因素包括：病前具有完美主义、有抱负和尽责人格的儿童、儿童及父母的精神问题以及创伤性事件。两种综合征的症状仅在拒绝模式和神经症状方面有所不同。所探索的鉴别诊断均无法解释所有特征。病因因素的个体影响需要进一步研究。儿童之前可能被诊断出多种鉴别诊断，但这些都无法解释该综合征中出现的所有症状。抑郁性活力丧失和广泛性拒绝综合征被认为是同一拒绝综合征的亚组。
