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探讨儿科强迫症及相关障碍中的认知发现。

An interrogation of cognitive findings in pediatric obsessive-compulsive and related disorders.

机构信息

Department of Psychological Sciences, Kent State University, Kent Hall, 600 Hilltop Drive, Kent, OH 442440, USA.

Department of Psychological Sciences, Kent State University, Kent Hall, 600 Hilltop Drive, Kent, OH 442440, USA.

出版信息

Psychiatry Res. 2015 Jun 30;227(2-3):135-43. doi: 10.1016/j.psychres.2015.03.032. Epub 2015 Mar 31.

DOI:10.1016/j.psychres.2015.03.032
PMID:25912428
Abstract

Current findings in the field of psychology have led to increased interest and a new conceptualization of disorders characterized by repetitive behaviors, namely the obsessive compulsive and related disorders (OCRDs). Scant research, however, has sought to collect and categorize the extant research on pediatric OCRDs. Particularly, no adequate review of the pediatric cognitive literature existed until now, despite the clear implication of abnormalities in neuroanatomical structures and cognitive functioning in adult samples. While evidence for cognitive dysfunction in pediatric samples is presented, this paper also suggests that differences in cognitive dysfunction may indeed exist between adults and youth with OCRDs. Specifically, those irregularities present in said youth at varying developmental stages may impact the origination and maintenance of OCRDs across time. Finally, this paper seeks to formulate potential future goals for the research field, particularly through transdiagnostic approaches to processes linked with symptom presentations. This is of particular importance as an improved understanding of the interaction of cognitive function and growth is key to further comprehension of the OCRDs.

摘要

目前心理学领域的研究结果引起了人们对以重复行为为特征的障碍的兴趣和新的概念化,即强迫症和相关障碍(OCRD)。然而,很少有研究试图收集和分类现有的儿科 OCRD 研究。特别是,尽管在成人样本中发现神经解剖结构和认知功能异常,但直到现在,也没有对儿科认知文献进行充分的综述。虽然提出了儿科样本中认知功能障碍的证据,但本文还表明,OCRD 成人和青少年之间的认知功能障碍确实存在差异。具体来说,在不同发育阶段的所述青少年中存在的异常可能会影响 OCRD 随时间的发生和维持。最后,本文试图为研究领域制定潜在的未来目标,特别是通过与症状表现相关的诊断间方法。这一点尤其重要,因为更好地理解认知功能和生长的相互作用是进一步理解 OCRD 的关键。

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引用本文的文献

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A Neurocognitive Comparison of Pediatric Obsessive-Compulsive Disorder and Trichotillomania (Hair Pulling Disorder).儿童强迫症与拔毛癖(拔毛障碍)的神经认知比较
J Abnorm Child Psychol. 2020 May;48(5):733-744. doi: 10.1007/s10802-020-00627-6.
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Challenges in the diagnosis and treatment of pediatric obsessive-compulsive disorder.小儿强迫症的诊断与治疗挑战
Indian J Psychiatry. 2019 Jan;61(Suppl 1):S119-S130. doi: 10.4103/psychiatry.IndianJPsychiatry_524_18.
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Obsessive Compulsive and Related Disorders: From the Biological Basis to a Rational Pharmacological Treatment.
强迫及相关障碍:从生物学基础到合理的药物治疗
Int J Neuropsychopharmacol. 2018 Jan 1;21(1):59-62. doi: 10.1093/ijnp/pyx101.