以亲子沟通为中心的儿童功能性躯体症状康复方法
Parent-child Communication-centered Rehabilitative Approach for Pediatric Functional Somatic Symptoms.
作者信息
Gerner Maya, Barak Sharon, Landa Jana, Eisenstein Etzyona
机构信息
The Chaim Sheba Medical Center, The Edmond and Lily Safra Children's Hospital, Department of Pediatric Rehabilitation, Ramat Gan, Israel.
The Chaim Sheba Medical Center, The Edmond and Lily Safra Children's Hospital, Department of Pediatric Rehabilitation, Ramat Gan, Israel Kaye Academic College of Education, Beer Sheva, Israel.
出版信息
Isr J Psychiatry Relat Sci. 2016;53(2):39-46.
BACKGROUND
Functional somatic symptoms (FSS) are a type of somatization phenomenon. Integrative rehabilitation approaches are the preferred treatment for pediatric FSS. Parental roles in the treatment process have not been established.
STUDY AIMS
to present 1) a parent-focused treatment (PFT) for pediatric FSS and 2) the approach's preliminary results.
METHODS
The sample included 50 children with physical disabilities due to FSS. All children received PFT including physical and psychological therapy. A detailed description of the program's course and guiding principles is provided.
OUTCOME MEASURES
FSS extinction and age-appropriate functioning.
RESULTS
Post-program, 84% of participants did not exhibit FSS and 94% returned to age-appropriate functioning. At one-year follow-up, only 5% of participants experienced symptom recurrence. No associations were found between pre-admission symptoms and intervention duration.
CONCLUSION
PFT is beneficial in treating pediatric FSS. Therefore, intensive parental involvement in rehabilitation may be cardinal.
背景
功能性躯体症状（FSS）是一种躯体化现象。综合康复方法是小儿FSS的首选治疗方法。父母在治疗过程中的作用尚未明确。
研究目的
1）介绍一种针对小儿FSS的以父母为中心的治疗方法（PFT）；2）展示该方法的初步结果。
方法
样本包括50名因FSS导致身体残疾的儿童。所有儿童均接受了包括物理和心理治疗的PFT。提供了该项目过程和指导原则的详细描述。
结果指标
FSS消失和适龄功能恢复。
结果
项目结束后，84%的参与者未表现出FSS，94%恢复了适龄功能。在一年的随访中，只有5%的参与者出现症状复发。入院前症状与干预持续时间之间未发现关联。
结论
PFT对治疗小儿FSS有益。因此，父母积极参与康复可能至关重要。
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