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儿童和青少年情绪失调和发作的管理。

Management of Emotion Dysregulation and Outbursts in Children and Adolescents.

机构信息

Cincinnati Children's Hospital, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.

University of Cincinnati College of Medicine, Cincinnati, USA.

出版信息

Curr Psychiatry Rep. 2022 Mar;24(3):213-226. doi: 10.1007/s11920-022-01325-4. Epub 2022 Mar 22.

Abstract

PURPOSE OF REVIEW

Emotion dysregulation and outbursts are very common reasons for referral to child and adolescent mental health services and a frequent cause of admission to hospitals and residential programs. Symptoms of emotion dysregulation and outburst are transdiagnostic, associated with many disorders, have the potential to cause severe impairment and their management presents a major challenge in clinical practice.

RECENT FINDINGS

There are an increasing number of psychosocial interventions that demonstrate promise in improving emotion dysregulation and outbursts. Acute care systems to manage the most severely ill patients have limited best practice guidelines but program advancements indicate opportunities to improve care models. Pharmacotherapy may be of assistance to psychosocial interventions but must be used with caution due to potential adverse effects. Much remains to be discovered however evidence informed, targeted treatments for specific populations show potential for future improvements in outcomes.

摘要

目的综述

情绪失调和爆发是儿童和青少年心理健康服务机构转介的常见原因,也是导致住院和住院治疗的常见原因。情绪失调和爆发的症状具有跨诊断的特点,与许多疾病有关,有可能导致严重的损伤,其管理在临床实践中是一个重大的挑战。

最新发现

越来越多的心理社会干预措施显示出改善情绪失调和爆发的潜力。管理病情最严重的患者的急性护理系统几乎没有最佳实践指南,但项目的进展表明有机会改善护理模式。药物治疗可能对心理社会干预有帮助,但由于潜在的副作用,必须谨慎使用。然而,仍有许多需要发现的地方,但是针对特定人群的循证靶向治疗显示出未来改善结果的潜力。

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