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[根据《精神疾病诊断与统计手册》第5版对遗尿症/遗粪症的分类]

[Classification of enuresis/encopresis according to DSM-5].

作者信息

von Gontard Alexander

机构信息

Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Universitätsklinikum des Saarlandes, <location>Homburg</location>

出版信息

Z Kinder Jugendpsychiatr Psychother. 2014 Mar;42(2):109-13. doi: 10.1024/1422-4917/a000277.

Abstract

Elimination disorders are common in childhood and adolescence. Enuresis is traditionally defined as wetting from the age of 5 years and encopresis as soiling from 4 years onwards - after all organic causes have been excluded. In the past decades, many subtypes of elimination disorders have been identified with different symptoms, etiologies, and specific treatment options. Unfortunately, the DSM-5 criteria did not integrate these new approaches. In contrast, classification systems of the International Children's Incontinence Society (ICCS) for enuresis and urinary incontinence as well as the ROME-III criteria for fecal incontinence offer new and relevant suggestions for both clinical and research purposes.

摘要

排泄障碍在儿童期和青少年期很常见。遗尿症传统上定义为5岁起出现尿床,遗粪症则定义为4岁及以后出现弄脏内裤的情况——前提是已排除所有器质性病因。在过去几十年里,已识别出排泄障碍的许多亚型,它们具有不同的症状、病因和特定治疗方案。遗憾的是,《精神疾病诊断与统计手册》第五版(DSM - 5)的标准并未纳入这些新方法。相比之下,国际儿童尿失禁协会(ICCS)针对遗尿症和尿失禁的分类系统以及罗马Ⅲ型大便失禁标准,为临床和研究目的都提供了新的且相关的建议。

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