儿童和青少年的躯体症状及相关障碍：一项自然主义住院多学科治疗的评估
Somatic symptom and related disorders in children and adolescents: evaluation of a naturalistic inpatient multidisciplinary treatment.
作者信息
Heimann Pola, Herpertz-Dahlmann Beate, Buning Jonas, Wagner Norbert, Stollbrink-Peschgens Claudia, Dempfle Astrid, von Polier Georg G
机构信息
1Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Aachen, Germany.
2Department of Pediatrics, RWTH Aachen University, Aachen, Germany.
出版信息
Child Adolesc Psychiatry Ment Health. 2018 Jun 28;12:34. doi: 10.1186/s13034-018-0239-y. eCollection 2018.
BACKGROUND
This naturalistic study assesses the effectiveness of inpatient multidisciplinary treatment of children and adolescents with somatic symptom disorders (SSD) and investigates the role of pain coping strategies and psychiatric comorbidity (anxiety, depression).
METHODS
Sixty children and adolescents (mean age 14.4 years) with SSD who underwent inpatient multidisciplinary treatment were assessed regarding their school attendance, levels of discomfort, coping strategies and psychiatric comorbidity (depression, anxiety) at pretreatment, discharge and 6 months following treatment.
RESULTS
At discharge, the children and adolescents reported improvements in their level of discomfort, psychiatric comorbidities (anxiety, depression) and pain coping strategies, with medium to large effect sizes. Six months following treatment, the improvements remained stable, including significantly higher school attendance rates ( = 1.6; < 0.01). Improvement in pain coping was associated with increased school attendance.
CONCLUSION
Inpatient multidisciplinary treatment is effective in reducing levels of discomfort, psychiatric comorbidity (anxiety, depression), and school absence and in improving coping strategies.
背景
本自然主义研究评估了住院多学科治疗对患有躯体症状障碍（SSD）的儿童和青少年的有效性，并调查了疼痛应对策略和精神共病（焦虑、抑郁）的作用。
方法
对60名接受住院多学科治疗的患有SSD的儿童和青少年（平均年龄14.4岁）在治疗前、出院时和治疗后6个月评估其上学出勤率、不适程度、应对策略和精神共病（抑郁、焦虑）情况。
结果
出院时，儿童和青少年报告其不适程度、精神共病（焦虑、抑郁）和疼痛应对策略有所改善，效应量为中等至较大。治疗后6个月，改善情况保持稳定，包括上学出勤率显著提高（=1.6；<0.01）。疼痛应对的改善与上学出勤率的提高相关。
结论
住院多学科治疗在减轻不适程度、精神共病（焦虑、抑郁）和缺课情况以及改善应对策略方面有效。
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