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[儿童和青少年拔毛癖的临床现象学特征]

[Clinico-phenomenologic characteristics of trichotillomania in children and adolescents].

作者信息

Shevchenko Iu S

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(8):65-8.

PMID:2175127
Abstract

Altogether 110 children and adolescents aged 1 to 19 years with trichotillomania and its rudiments were examined. The given phenomenon is shown to be similar to the other forms of pathological habitual actions, especially to onychophagy. The author demonstrates the nosological nonspecificity of trichotillomania and a great role played in its origin of minimum brain dysfunction. Provides evidence for the concept of the biological nature of the phenomenon. Stresses the psychopathological heterogeneity of trichotillomania in different age groups with emphasis on the preservation of the common pathogenetic nucleus--the conditioned reflex fixing of the philogenetic behavioral models. Advances an opinion about the validity of singling out the definition "a pathological habitual action" as an independent psychopathological sign of certain varieties of trichotillomania.

摘要

共对110名年龄在1至19岁之间患有拔毛癖及其雏形的儿童和青少年进行了检查。研究表明,这种现象与其他形式的病理性习惯性行为相似,尤其是与咬甲癖相似。作者证明了拔毛癖在病因学上的非特异性,以及最小脑功能障碍在其发病过程中所起的重要作用。为该现象的生物学本质概念提供了证据。强调了不同年龄组拔毛癖的精神病理异质性,重点是保留共同的发病核心——种系发生行为模式的条件反射固定。提出了关于将“病理性习惯性行为”定义作为某些类型拔毛癖的独立精神病理标志的合理性的观点。

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