Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of Michigan, Ann Arbor, USA.
Department of Psychiatry, Division of Child and Adolescent Psychiatry and Department of Pediatrics, C.S. Mott Children's Hospital, University of Michigan Hospital Systems, Ann Arbor, MI, USA.
Curr Psychiatry Rep. 2021 May 11;23(7):40. doi: 10.1007/s11920-021-01256-6.
To summarize current key recommendations in the evaluation and management of mental health disorders associated with spinal cord injuries (SCI) among pediatric patients, based on a review of recent evidence-based literature and clinical experience.
Anticipating potential mental health risks among youth with SCI and implementing early multidisciplinary management improves physical and mental health outcomes. When caregivers of youth with SCI model healthy coping strategies, it promotes healthy coping strategies in patients themselves. Peer mentor programs can be instrumental in patient adjustment, improve mental health, and aid in recovery. Pediatric SCI is particularly impactful on a child's development and individuation. Early involvement of a mental health team while in the hospital can help with the initial adjustment period and address psychiatric concerns that might interfere with recovery. The transition from the hospital to home is a period of vulnerability for individuals with SCI.
基于对近期循证文献和临床经验的回顾，总结目前与儿科脊髓损伤 (SCI) 相关的精神健康障碍评估和管理方面的关键建议。
对青少年 SCI 患者潜在心理健康风险的预测以及早期多学科管理可改善身心健康结局。当青少年 SCI 患者的照护者示范健康应对策略时，患者自身也会采用健康应对策略。同伴导师计划对患者适应、改善心理健康和促进康复都有帮助。儿科 SCI 对儿童的发展和个体化特别有影响。在住院期间尽早让心理健康团队参与有助于初始调整期和解决可能干扰康复的精神健康问题。从医院到家庭的过渡时期，SCI 患者较为脆弱。
