病例系列：感觉不耐受作为儿童强迫症的主要症状
Case series: Sensory intolerance as a primary symptom of pediatric OCD.
作者信息
Hazen Eric P, Reichert Elizabeth L, Piacentini John C, Miguel Eurípedes Constantino, do Rosario Maria Conceição, Pauls David, Geller Daniel A
机构信息
Clinical Research Program in Pediatric Psychopharmacology, Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA.
出版信息
Ann Clin Psychiatry. 2008 Oct-Dec;20(4):199-203. doi: 10.1080/10401230802437365.
INTRODUCTION
Marked intolerance or intrusive re-experiencing of ordinary sensory stimuli that in turn drive functionally impairing compulsive behaviors are occasionally seen in young children with OCD.
METHODS
We describe a number of children with DSM-IV OCD ascertained from a family genetic study of pediatric OCD, whose intolerance of ordinary sensory stimuli created significant subjective distress and time-consuming ritualistic behavior that was clinically impairing.
RESULTS
In each case, these sensory symptoms were the primary presenting symptoms and were experienced in the absence of intrusive thoughts, images, or ideas associated with "conventional" OCD symptoms.
CONCLUSIONS
These symptoms suggest abnormalities in sensory processing and integration in at least a subset of OCD patients. Recognition of these sensory symptoms and sensory-driven behaviors as part of the broad phenotypic variation in children with OCD could help clinicians more easily identify OCD patients and facilitate treatment.
引言
在患有强迫症的幼儿中，偶尔会出现对普通感觉刺激的明显不耐受或反复体验，进而导致功能受损的强迫行为。
方法
我们描述了一些从儿童强迫症的家族遗传研究中确诊为DSM-IV强迫症的儿童，他们对普通感觉刺激的不耐受造成了严重的主观痛苦和耗时的仪式行为，这些行为在临床上造成了损害。
结果
在每种情况下，这些感觉症状都是主要的表现症状，且是在没有与“传统”强迫症症状相关的侵入性思维、图像或想法的情况下出现的。
结论
这些症状表明至少一部分强迫症患者存在感觉处理和整合异常。认识到这些感觉症状和由感觉驱动的行为是强迫症患儿广泛表型变异的一部分，有助于临床医生更容易地识别强迫症患者并促进治疗。
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