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[儿童及青少年期功能性心身障碍的临床类型]

[Clinical types of functional psychosomatic disorders in childhood and adolescence].

作者信息

Danilova L Iu

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(8):88-91.

PMID:2175131
Abstract

Functional psychosomatic diseases(FPS) in children and adolescents are fairly close to somatic depressions occurring in that particular age, at least at the first stage of the disease. In view of sufficient stability in time of the clinical manifestations of FPS in the same patient (which is evidently determined by the locus minoris of the somatic sphere) as well as in correspondence with the specificity of the practical activity of the pediatrician and counselling psychiatrist, it is advisable that FPS be classified in terms of the criterion for the predominance of one or another somatic disorder. Four types of FPS have been distinguished: hyperthermal, cardiovascular, gastrointestinal, and infectious-allergic. These are the most frequently occurring patterns of that pathology. However, as one goes far into the narrow somatic disciplines, new types of FPS can be revealed. The medical and social significance of the problem dictates the necessity of further studies into the clinical picture and course of FPS in children and adolescents.

摘要

儿童和青少年的功能性身心疾病(FPS)与该特定年龄段出现的躯体性抑郁症相当接近,至少在疾病的第一阶段是这样。鉴于同一患者的FPS临床表现具有足够的时间稳定性(这显然由躯体领域的次要位点决定),并且与儿科医生和咨询精神科医生的实际活动特点相符,建议根据一种或另一种躯体疾病占优势的标准对FPS进行分类。已区分出四种类型的FPS:高热型、心血管型、胃肠型和感染-过敏型。这些是该病理学中最常见的模式。然而,随着深入研究狭义的躯体学科,可能会发现新型的FPS。该问题的医学和社会意义决定了有必要进一步研究儿童和青少年FPS的临床表现和病程。

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