哌甲酯诱发的强迫症状：一例报告及文献综述
Methylphenidate-induced obsessive-compulsive symptoms: A case report and review of literature.
作者信息
Jhanda Soumya, Singla Neha, Grover Sandeep
机构信息
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
J Pediatr Neurosci. 2016 Oct-Dec;11(4):316-318. doi: 10.4103/1817-1745.199461.
Abstract
Literature on the association of methylphenidate and obsessive-compulsive symptoms (OCS) is sparse. This report discusses a case of a 14-year-old boy, who developed OCS (in the form of need for symmetry, obsessive doubts; compulsive symptoms included the need to order/arrange articles and repeated checking behavior), within 10 days of starting methylphenidate at the dose of 15 mg/day. Stoppage of methylphenidate led to amelioration of OCS over 2 weeks. The case description suggests that whenever a child on stimulants presents with new-onset OCS, association of OCS with stimulants must be suspected before considering an independent diagnosis of comorbid OCS/obsessive-compulsive disorder.
摘要
关于哌甲酯与强迫症状（OCS）关联的文献稀少。本报告讨论了一名14岁男孩的病例，该男孩在开始服用15毫克/天剂量的哌甲酯后10天内出现了OCS（表现为对对称性的需求、强迫性怀疑；强迫症状包括对物品进行整理/排列的需求以及反复检查行为）。停用哌甲酯后，OCS在2周内得到改善。该病例描述表明，每当服用兴奋剂的儿童出现新发OCS时，在考虑独立诊断为共病OCS/强迫症之前，必须怀疑OCS与兴奋剂之间存在关联。
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