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一名患有强迫症、重度抑郁症且有自杀倾向的儿科患者的执行功能障碍和语言缺陷

Executive Dysfunction and Language Deficits in a Pediatric Patient with OCD and MDD with Suicidality.

作者信息

Yuan Melissa

机构信息

New York Presbyterian Hospital Westchester Division, White Plains, NY, USA.

出版信息

Case Rep Psychiatry. 2019 Apr 30;2019:6574304. doi: 10.1155/2019/6574304. eCollection 2019.

Abstract

The role of neuropsychiatric testing in psychiatric disorders is becoming more prominent. Neuropsychological measures that are similar across symptom domains and phenomena such as suicidality may help clinicians guide treatment and tailor therapies to the patient in the most effective way possible. We report the case of a 16-year-old girl who presented with bizarre, intrusive suicidal thoughts in the setting of OCD and MDD. This case is unusual in that we have accurate neuropsychological determination of our patient's language and executive function deficits, and we propose a link between them and her expression of suicidality in the context of OCD and MDD.

摘要

神经精神测试在精神疾病中的作用正变得愈发突出。跨症状领域以及诸如自杀观念等现象具有相似性的神经心理学测量方法,可能有助于临床医生以最有效的方式指导治疗并为患者量身定制疗法。我们报告一例16岁女孩的病例,她在患有强迫症和重度抑郁症的情况下出现怪异、侵入性的自杀念头。该病例的不同寻常之处在于,我们对患者的语言和执行功能缺陷进行了准确的神经心理学测定,并且我们提出在强迫症和重度抑郁症背景下,这些缺陷与她的自杀观念表达之间存在关联。

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本文引用的文献

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A meta-analysis of cognitive deficits in first-episode Major Depressive Disorder.首发重性抑郁障碍认知缺陷的荟萃分析
J Affect Disord. 2012 Oct;140(2):113-24. doi: 10.1016/j.jad.2011.10.023. Epub 2011 Nov 15.
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Executive functioning in depressed patients with suicidal ideation.有自杀意念的抑郁症患者的执行功能
Acta Psychiatr Scand. 2005 Oct;112(4):294-301. doi: 10.1111/j.1600-0447.2005.00585.x.

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