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两名青少年出现以口吃为表现的做作性障碍:心理教育的重要性。

Factitious Disorder Presenting with Stuttering in Two Adolescents: The Importance of Psychoeducation.

作者信息

Bolat Nurullah, Yalçin Özhan

机构信息

Clinic of Child and Adolescent Psychiatry, İzmir Tepecik Training and Research Hospital, İzmir, Turkey.

Clinic of Child and Adolescent Psychiatry, Bakırköy Psychiatric Hospital, İstanbul, Turkey.

出版信息

Noro Psikiyatr Ars. 2017 Mar;54(1):87-89. doi: 10.5152/npa.2017.12349. Epub 2017 Mar 1.

Abstract

A factitious disorder (FD) is a diagnostic entity in which patients intentionally act physically or mentally ill without obvious benefits and without being consciously aware of a clear underlying motive. Most pediatric FD cases have been reported as Munchausen syndrome by Proxy; however, pediatric disease symptoms can also be intentionally falsified by child and adolescent patients. To our knowledge, in the medical literature, an FD patient presenting with stuttering has not been previously reported. In this case report, we aimed to discuss the diagnosis and treatment process of FDs in children and adolescents by reporting the cases of two FD patients presenting with stuttering according to the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition. Both patients improved with psychoeducation and early confrontation.

摘要

诈病(FD)是一种诊断实体,患者在没有明显益处且没有意识到明确潜在动机的情况下故意表现出身体或精神疾病。大多数儿童诈病病例被报告为代理孟乔森综合征;然而,儿童和青少年患者也可能故意伪造疾病症状。据我们所知,在医学文献中,此前尚未报道过表现为口吃的诈病患者。在本病例报告中,我们旨在通过报告两例根据《精神疾病诊断与统计手册(第五版)》表现为口吃的诈病患者病例,来探讨儿童和青少年诈病的诊断和治疗过程。两名患者通过心理教育和早期对抗均有改善。

相似文献

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Child and adolescent illness falsification.
Pediatrics. 2000 Feb;105(2):336-42. doi: 10.1542/peds.105.2.336.
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Factitious disorders and Munchausen syndrome: the tip of the iceberg.做作性障碍与孟乔森综合征:冰山一角。
J Child Health Care. 2013 Dec;17(4):366-74. doi: 10.1177/1367493512462262. Epub 2013 Feb 14.

本文引用的文献

3
Deceptive examinees who committed suicide: report of two cases.伪装自杀的受审者:两例报告。
Clin Neuropsychol. 2012;26(1):116-28. doi: 10.1080/13854046.2011.633563. Epub 2011 Nov 15.
8
The costs of factitious disorders.诈病的代价。
Psychosomatics. 1994 Sep-Oct;35(5):506-7. doi: 10.1016/s0033-3182(94)71750-3.

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