Department of Anesthesiology & Pain Medicine, University of Washington and Seattle Children's Hospital, 4800 Sandpoint Way NE, Seattle, WA, 98105, USA.
Department of Neurology and Center for Integrative Brain Research, University of Washington and Seattle Children's Hospital, Seattle, WA, USA.
J Clin Psychol Med Settings. 2021 Mar;28(1):90-101. doi: 10.1007/s10880-020-09736-2.
Pediatric functional neurological symptom disorder (FNSD or conversion disorder) is an often misunderstood but treatable condition that frequently presents in medical settings with unexplained symptoms. Although research regarding treatment of pediatric FNSD is increasing, it is still in its infancy and studies in pediatrics do not provide clear guidelines about which patients are most likely to benefit from various treatments. The role of pediatric psychologists may include consultation, assessment, treatment, program development, and providing education to patients, families, and healthcare colleagues in various disciplines. The purpose of this article is to provide a review of FNSD, discuss the importance of timely and accurate diagnosis, suggest how to present information to patients and families, and present options for treatment that are either supported by preliminary research or clinical experiences of the authors.
儿童功能性神经症状障碍（FNSD 或转换障碍）是一种经常被误解但可治疗的疾病，常以不明原因的症状出现在医疗环境中。尽管关于儿童 FNSD 的治疗研究正在增加，但仍处于起步阶段，儿科研究并未提供明确的指导，说明哪些患者最有可能从各种治疗中受益。儿科心理学家的作用可能包括咨询、评估、治疗、方案制定以及向患者、家庭和各学科的医疗保健同事提供教育。本文的目的是回顾 FNSD，讨论及时准确诊断的重要性，建议如何向患者和家属介绍信息，并提出初步研究或作者临床经验支持的治疗选择。
