Minnis Helen
Institute of Health and Wellbeing, University of Glasgow, Caledonia House, Glasgow G3 8SJ, UK.
ScientificWorldJournal. 2013 Apr 17;2013:148468. doi: 10.1155/2013/148468. Print 2013.
This paper presents a new concept-maltreatment associated psychiatric problems (MAPP)-a syndrome of overlapping complex neurodevelopmental problems in children who have experienced abuse or neglect in early life. Children with MAPP are a hidden population in the community and, in clinical settings, their problems can seem overwhelming. Individual disorders associated with maltreatment are discussed as well as the overlap between these disorders and their shared environmental and genetic predisposing factors. Because of the complex and overlapping nature of MAPP, with symptoms emerging in early life, I argue that it should be considered an example of ESSENCE. Children presenting with likely MAPP should receive a comprehensive assessment, probing for symptoms of all of the ESSENCE disorders and leading to the use of evidence-based treatments where these are available.
本文提出了一个新概念——虐待相关精神问题（MAPP），这是一种在早年经历过虐待或忽视的儿童中出现的重叠性复杂神经发育问题综合征。患有MAPP的儿童是社区中的一个隐性群体，在临床环境中，他们的问题似乎难以应对。文中讨论了与虐待相关的个体障碍，以及这些障碍之间的重叠及其共同的环境和遗传易患因素。由于MAPP具有复杂且重叠的性质，症状在早年就会出现，我认为它应被视为本质性发育障碍（ESSENCE）的一个例子。表现出可能患有MAPP的儿童应接受全面评估，探究所有本质性发育障碍的症状，并在有循证治疗方法时采用这些方法进行治疗。
