Ohlis Anna, Narusyte Jurgita, Lindvall Olle, Dalman Christina, Hollander Anna-Clara
med dr, överläkare, institutionen för global folkhälsa, Karolinska institutet, Stockholm.
med dr, avdelningen för försäkringsmedicin vid institutionen för klinisk neurovetenskap, Karolinska institutet, Stockholm.
Lakartidningen. 2022 Jun 21;119:21171.
In the early 2000s, some children in asylum seeking families in Sweden showed severe reduction in function, including pervasive refusal to eat, drink, walk, talk or care for themselves. In 2014 this was to be named the resignation syndrome (ICD-10 F32.3A). The purpose of our study was to compare education and health-related outcomes over time between those with and without these symptoms, in a group of children from Central Asia who have been asylum seekers and received a residence permit in Sweden. We found that between the years 2005-2012, in the child and adolescent mental health services (CAMHS) in the Stockholm Region, 103 children showed symptoms of resignation, of whom 43 (43%) showed the most severe symptoms. Children with resignation syndrome assessed and cared for by CAMHS had similar need of outpatient care as other children of the same origin who had been treated by CAMHS for other conditions. They did not have an increased need for inpatient care compared with other children of the same origin, and they passed upper secondary school and past-secondary education to the same extent as other children of the same origin.
21世纪初，瑞典一些寻求庇护家庭中的儿童出现了功能严重减退的情况，包括普遍拒绝进食、饮水、行走、说话或自理。2014年，这种情况被命名为“ resignation综合征”（国际疾病分类第十版，F32.3A）。我们研究的目的是比较一组来自中亚、曾寻求庇护并在瑞典获得居留许可的儿童中，有这些症状和没有这些症状的儿童随时间推移在教育和健康相关方面的结果。我们发现，在2005年至2012年期间，在斯德哥尔摩地区的儿童和青少年心理健康服务机构（CAMHS）中，103名儿童出现了resignation症状，其中43名（43%）表现出最严重的症状。由CAMHS评估和护理的resignation综合征儿童与因其他疾病接受CAMHS治疗的同来源其他儿童有相似的门诊护理需求。与同来源的其他儿童相比，他们没有增加住院护理需求，并且他们完成高中和高中后教育的程度与同来源的其他儿童相同。
