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儿童期满足障碍的理解:诊断、鉴别诊断及管理方法的全面综述

Understanding Gratification Disorder in Childhood: A Comprehensive Review of Diagnosis, Differential Diagnosis, and Management Approaches.

作者信息

Longkumer Imyarila, Patil Ragini, Ahmed Ateeba

机构信息

Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 28;16(9):e70415. doi: 10.7759/cureus.70415. eCollection 2024 Sep.

DOI:10.7759/cureus.70415
PMID:39473641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11519580/
Abstract

Gratification disorder (GD) in childhood is characterized by difficulty delaying immediate rewards and controlling impulsive behaviors. This disorder manifests as a persistent struggle to wait for longer-term rewards and a tendency toward impulsive decision-making, which can disrupt academic performance, social interactions, and daily functioning. The relevance of GD is highlighted by its potential to impede the development of crucial skills such as self-control, problem-solving, and social competence. This comprehensive review aims to provide an in-depth understanding of GD by examining its diagnostic criteria, exploring differential diagnoses, and evaluating various management strategies. Key objectives include clarifying the characteristics of GD, distinguishing it from other disorders with overlapping symptoms, and assessing effective interventions, including behavioral therapies, pharmacological options, and educational modifications. The review underscores the importance of accurate diagnosis and tailored interventions for clinicians, educators, and parents, emphasizing the need for a multidisciplinary approach to support affected children. Understanding GD is essential for improving developmental outcomes and ensuring that children receive appropriate support to navigate the challenges associated with the disorder. Continued research and advancements in diagnostic and therapeutic practices are crucial for enhancing the management of GD and fostering better long-term outcomes for affected individuals.

摘要

儿童期满足感障碍(GD)的特征是难以延迟即时奖励并控制冲动行为。这种障碍表现为持续难以等待长期奖励,以及有冲动决策的倾向,这可能会扰乱学业成绩、社交互动和日常功能。GD的相关性体现在它有可能阻碍自我控制、解决问题和社交能力等关键技能的发展。这篇综述旨在通过研究其诊断标准、探索鉴别诊断以及评估各种管理策略,来深入了解GD。主要目标包括明确GD的特征,将其与具有重叠症状的其他障碍区分开来,以及评估有效的干预措施,包括行为疗法、药物选择和教育调整。该综述强调了准确诊断和量身定制干预措施对临床医生、教育工作者和家长的重要性,强调需要采取多学科方法来支持受影响的儿童。了解GD对于改善发育结果以及确保儿童获得适当支持以应对与该障碍相关的挑战至关重要。诊断和治疗实践的持续研究与进展对于加强GD的管理以及为受影响个体促成更好的长期结果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6835/11519580/c53921c13593/cureus-0016-00000070415-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6835/11519580/c53921c13593/cureus-0016-00000070415-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6835/11519580/c53921c13593/cureus-0016-00000070415-i01.jpg

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本文引用的文献

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Childhood gratification syndrome: Demystifying the clinical conundrum with a narrative literature review of the past 5 decades.儿童满足综合征:通过对过去50年的叙述性文献回顾揭开临床难题的神秘面纱。
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Parental socialization of guilt and shame in early childhood.
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The Effectiveness of Anxiety Interventions for Young Children: A Meta-Analytic Review.幼儿焦虑干预措施的有效性:一项元分析综述
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