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本文引用的文献

1
Christianson syndrome across the lifespan: genetic mutations and longitudinal study in children, adolescents, and adults.跨越生命周期的克里斯蒂安森综合征:儿童、青少年和成人的基因突变和纵向研究。
J Med Genet. 2024 Oct 23;61(11):1031-1039. doi: 10.1136/jmg-2024-109973.
2
Slc9a6 mutation causes Purkinje cell loss and ataxia in the shaker rat.Slc9a6 突变导致 shake 大鼠浦肯野细胞丢失和共济失调。
Hum Mol Genet. 2023 May 5;32(10):1647-1659. doi: 10.1093/hmg/ddad004.
3
Advancing qualitative rare disease research methodology: a comparison of virtual and in-person focus group formats.推进定性罕见病研究方法学:虚拟与面对面焦点小组形式的比较。
Orphanet J Rare Dis. 2022 Sep 11;17(1):354. doi: 10.1186/s13023-022-02522-3.
4
Caring for the Caregiver (C4C): An Integrated Stepped Care Model for Caregivers of Children With Medical Complexity.关爱照顾者(C4C):针对患有复杂疾病儿童的照顾者的综合阶梯式照护模式
Acad Pediatr. 2023 Mar;23(2):236-243. doi: 10.1016/j.acap.2022.06.001. Epub 2022 Jun 6.
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Directed qualitative content analysis: the description and elaboration of its underpinning methods and data analysis process.定向定性内容分析:对其基础方法和数据分析过程的描述与阐述。
J Res Nurs. 2018 Feb;23(1):42-55. doi: 10.1177/1744987117741667. Epub 2018 Jan 10.
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Complex Neurological Phenotype in Female Carriers of Mutations.突变女性携带者的复杂神经学表型
Mol Neuropsychiatry. 2019 Apr;5(2):98-108. doi: 10.1159/000496341. Epub 2019 Mar 6.
7
Towards Meaningful Engagement for the Patient Voice.迈向让患者声音得到有意义参与的目标。
Patient. 2019 Aug;12(4):361-363. doi: 10.1007/s40271-019-00366-x.
8
Patient Voice in Rare Disease Drug Development and Endpoints.罕见病药物研发与终点中的患者声音。
Ther Innov Regul Sci. 2017 Mar;51(2):257-263. doi: 10.1177/2168479016671559. Epub 2016 Nov 4.
9
Giving Patients a Meaningful Voice in United States Regulatory Decision Making: The Role for Health Preference Research.让患者在美国监管决策中拥有有意义的发言权:健康偏好研究的作用。
Patient. 2017 Aug;10(4):523-526. doi: 10.1007/s40271-017-0250-z.
10
Inaugural Christianson Syndrome Association conference: families meeting for the first time.第一届克里斯琴森综合征协会会议:首次相聚的家庭。
J Neurodev Disord. 2014;6(1):13. doi: 10.1186/1866-1955-6-13. Epub 2014 May 23.

克里斯蒂安森综合征家庭经历:照顾者访谈结果

Christianson Syndrome Family Experiences: Results From Caregiver Interviews.

作者信息

St Pierre Danielle G, Best Carrie R, Elacio Jennifer, Kissel Naomi, Morrow Eric M

机构信息

Center for Translational Neuroscience, Carney Institute for Brain Science and Warren Alpert Medical School, Brown University, Providence, RI, USA.

Developmental Disorders Genetics Research Program (DDGRP), Department of Psychiatry and Human Behavior, Emma Pendleton Bradley Hospital, Warren Alpert Medical School at Brown University, Providence, RI, USA.

出版信息

J Child Neurol. 2025 Sep;40(8):603-611. doi: 10.1177/08830738251327619. Epub 2025 Apr 2.

DOI:10.1177/08830738251327619
PMID:40170533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12334333/
Abstract

Christianson syndrome is a rare X-linked disorder characterized by intellectual and developmental disability, epilepsy, and regressions, requiring lifelong care. This study explored family experiences and treatment priorities from the caregiver perspectives. Qualitative semistructured interviews were conducted with 18 caregivers of 20 patients (aged 4-29 years) to discuss symptom onset, diagnosis, progression, coping, and priorities. Transcripts were thematically analyzed. Initial symptoms included seizures, delayed developmental milestones, and lack of speech. Caregivers described sadness, anger, and feeling overwhelmed after diagnosis. Concerns included seizures, communication challenges, and sleep disruptions. Only half reported robust support networks. Coping strategies included exercise, work, and partner support. Despite challenges, caregivers highlighted the happy, affectionate demeanors of the children. Caregivers emphasized connecting with other families and prioritized treatments for seizures, communication, and preventing regressions. These findings reflect caregiver experiences, enhance knowledge of Christianson syndrome impacts, and highlight common challenges for families managing disabilities.

摘要

克里斯蒂安森综合征是一种罕见的X连锁疾病,其特征为智力和发育障碍、癫痫及退化,需要终身照料。本研究从照料者的角度探讨了家庭经历和治疗重点。对20名患者(年龄在4至29岁之间)的18名照料者进行了定性半结构式访谈,以讨论症状发作、诊断、病情进展、应对方式及重点。对访谈记录进行了主题分析。初始症状包括癫痫发作、发育里程碑延迟和言语缺失。照料者描述了诊断后的悲伤、愤怒和不知所措的感觉。担忧包括癫痫发作、沟通困难和睡眠中断。只有一半的人报告有强大的支持网络。应对策略包括锻炼、工作和伴侣支持。尽管存在挑战,照料者强调了孩子们快乐、深情的举止。照料者强调与其他家庭建立联系,并将癫痫发作、沟通及预防退化的治疗作为优先事项。这些发现反映了照料者的经历,增进了对克里斯蒂安森综合征影响的了解,并突出了家庭管理残疾问题的常见挑战。