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[对诊断为坎纳氏婴儿自闭症而住院儿童的随访研究]

[Catamnestic study of children hospitalized with the diagnosis of Kanner's infantile autism].

作者信息

Stárková L, Zmrzlíková L

出版信息

Cesk Psychiatr. 1989 Aug;85(4):238-45.

PMID:2805123
Abstract

Kanner's infantile autism is conceived as a psychosis of early childhood manifested clinically as schizophrenic syndrome with dominating extreme spontaneous isolation of the child (autism). The authors attempted a catamnestic investigation of 20 patients where their diagnosis was made during hospitalization. In 17 cases it was possible to confirm this diagnosis after a certain time interval, in two patients oligophrenia was confirmed and only in one child disharmonious personality development. In patients with a confirmed diagnosis of Kanner's infantile autism the actual psychopathology of rational abilities was tested (a defective intellect was confirmed in all investigated children), social relations of the patients and the level of speech development. Attention was also paid to psychopharmacotherapy. The majority of junior patients, but only four of the senior patients, are in families. Senior patients and sometimes also preschool children with partial speech development are in social care institutions where the defect of the disease proper is potentiated by negative aspects of the asylum. Kanner's infantile autism is a serious disease which affects the entire mental development of the child, not only the emotional development. In the sphere of therapy, and in particular psychopharmacotherapy, much remains to be done, psychiatric intervention is frequently only at the diagnostic and follow-up level of the disease.

摘要

坎纳氏婴儿孤独症被视为一种幼儿期精神病,临床上表现为精神分裂症综合征,其主要特征是儿童极度自发的孤立状态(孤独症)。作者尝试对20例在住院期间确诊的患者进行随访调查。17例在经过一定时间间隔后能够确诊,2例确诊为智力发育迟缓,只有1例儿童被确诊为性格发展不协调。对于确诊为坎纳氏婴儿孤独症的患者,测试了其理性能力的实际精神病理学情况(所有接受调查的儿童均被证实存在智力缺陷)、患者的社会关系以及语言发展水平。同时也关注了心理药物治疗。大多数年幼患者在家庭中,但年长患者中只有4例如此。年长患者以及有时部分语言发育的学龄前儿童在社会护理机构中,在这些机构中,疾病本身的缺陷因收容所的负面因素而加剧。坎纳氏婴儿孤独症是一种严重的疾病,它不仅影响儿童的情感发展,还会影响其整个心理发展。在治疗领域,尤其是心理药物治疗方面,仍有许多工作要做,精神病学干预往往仅停留在疾病的诊断和随访层面。

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