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[慢性抽动障碍的治疗]

[Therapy of chronic tic disorders].

作者信息

Roessner Veit, Banaschewski Tobias, Rothenberger Aribert

机构信息

Abteilung für Kinder- und Jugendpsychiatrie/Psychotherapie, Universität Göttingen.

出版信息

MMW Fortschr Med. 2006 May 15;Spec no. 2:28-30.

Abstract

Chronic tic disorders are associated with a high percentage of mental disorder symptoms, in particular ADHS and obsessive-compulsive disorders. These lead not only to special difficulties in the daily routine, but also negatively affect the psychosocial development more clearly and over a longer time than most tics themselves. The spontaneous remission rate of tic disorders is high. For mild symptoms, psychoeducation, contact to self-help groups and relaxation methods are sufficient. For more serious subjective psychological strain and/or clear psychosocial impairment, more far-reaching measures are indicated: principally medications and behavior therapy. If an accompanying mental disturbance is present, the treatment of this disorder is the first priority of the therapeutic program.

摘要

慢性抽动障碍与高比例的精神障碍症状相关,尤其是注意缺陷多动障碍(ADHD)和强迫症。这些症状不仅会在日常生活中带来特殊困难,而且比大多数抽动症状本身更明显且在更长时间内对心理社会发展产生负面影响。抽动障碍的自发缓解率很高。对于轻度症状,心理教育、加入自助小组和采用放松方法就足够了。对于更严重的主观心理压力和/或明显的心理社会功能损害,则需要采取更广泛的措施:主要是药物治疗和行为疗法。如果存在伴随的精神障碍,治疗该障碍是治疗方案的首要任务。

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