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[一名患有慢性难治性情绪和行为障碍的男性被诊断为阿斯伯格综合征——病例报告]

[Asperger's disorder diagnosed in the man treated with chronic and resistant emotional and behavioral disturbances--the case report].

作者信息

Jabłoński Marcin, Sacha Paweł, Grymek Andrzej, Ryczkowska Gabriela

机构信息

Oddział Psychiatrii Wojewódzkiego Szpitala Specjalistycznego im. L. Rydygiera w Krakowie.

出版信息

Psychiatr Pol. 2009 Jul-Aug;43(4):469-79.

Abstract

Asperger's disorder is a nosologic phenomena, that is similar to autism, and falls under the category of pervasive developmental disorders. The unknown and probably multi-factor aetiology, wide clinical picture and not completely defined and clinically relevant diagnostic criteria are the topic of discussion between investigators and clinicians. In the article presented, a single case report of a 39-year old male patient, diagnosed and treated for years due to chronic and resistant emotional and behavioural disturbances, not clearly defined psychotic symptoms and dominating dysfunctions of social involvement, may be a voice in the debate about Asperger's disorder spectrum, comorbidity in Asperger's syndrome and serve to remind the clinicians, that pervasive developmental disorders could really be diagnosed in adults.

摘要

阿斯伯格综合征是一种与自闭症相似的疾病分类现象,属于广泛性发育障碍范畴。其病因不明且可能是多因素的,临床表现多样,诊断标准尚未完全明确且缺乏临床相关性,这些都是研究人员和临床医生讨论的话题。在本文所呈现的内容中,一名39岁男性患者的单病例报告,该患者因慢性且难治的情绪和行为障碍、未明确界定的精神病性症状以及占主导地位的社会参与功能障碍而被诊断并接受多年治疗,这可能为关于阿斯伯格综合征谱系、阿斯伯格综合征共病的辩论提供一个观点,并提醒临床医生,广泛性发育障碍确实可以在成年人中得到诊断。

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