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一名儿童的智力残疾与多种共病精神障碍:病例报告

Intellectual disability and multiple co morbid psychiatric disorders in a child: a case report.

作者信息

Gautam Priyanka, Bhatia M S, Rathi Anubhav

机构信息

Senior Resident, Department of Psychiatry, U.C.M.S. & Guru Teg Bahadur Hospital , Dilshad Garden, Delhi, India .

Professor & HOD, Department of Psychiatry, U.C.M.S. & Guru Teg Bahadur Hospital , Dilshad Garden, Delhi, India .

出版信息

J Clin Diagn Res. 2014 Nov;8(11):WD01-2. doi: 10.7860/JCDR/2014/9336.5110. Epub 2014 Nov 20.

Abstract

Comorbid psychiatric Disorders are seen commonly in people with intellectual disability and in fact they are at greater risk for developing other health disorders. Most prevalent chronic health conditions in children with intellectual disability are epilepsy, cerebral palsy,anxiety disorders, sleep disorders and autism spectrum disorders. Co morbidities multiply the problem of people with intellectual impairment to a great extent and hence an accurate psychological assessment of multiple diagnoses is useful in detecting the specific underlying processes differentiating the co morbid syndrome and in planning an appropriate management and rehabilitation program. This case report is presented to emphasize the fact that though. It is common for intellectually disabled children to have other co-morbid psychiatric disorders, it is important to have accurate, suitable assessment and recording of every co-morbid disorder as it has its own implication in course and outcome of the disability in the child. A comprehensive management approach involving people from various spheres would be required to improve the quality of life and for reduction of burden of care giver.We describe a child of intellectual disability with multiple co morbidities.

摘要

共病性精神障碍在智力残疾者中很常见,事实上,他们患其他健康障碍的风险更高。智力残疾儿童中最常见的慢性健康状况是癫痫、脑瘫、焦虑症、睡眠障碍和自闭症谱系障碍。共病在很大程度上使智力障碍者的问题更加复杂,因此,对多种诊断进行准确的心理评估有助于发现区分共病综合征的具体潜在过程,并有助于制定适当的管理和康复计划。本病例报告旨在强调,虽然智力残疾儿童伴有其他共病性精神障碍很常见,但对每一种共病性障碍进行准确、适当的评估和记录非常重要,因为这对儿童残疾的病程和结局有其自身的影响。需要一种涉及各个领域人员的综合管理方法来提高生活质量并减轻照顾者的负担。我们描述了一名患有多种共病的智力残疾儿童。

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