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本文引用的文献

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Psychiatry Clin Psychopharmacol. 2024 Dec 2;34(4):302-310. doi: 10.5152/pcp.2024.24915.
2
Post-traumatic Stress Disorder in School-age Children: A Nationwide Prospective Birth Cohort Study.学龄儿童创伤后应激障碍:一项全国性前瞻性出生队列研究
J Child Adolesc Trauma. 2024 Feb 22;17(2):139-157. doi: 10.1007/s40653-024-00611-y. eCollection 2024 Jun.
3
Developmental regression in children: Current and future directions.儿童发育倒退:现状与未来方向
Cortex. 2023 Dec;169:5-17. doi: 10.1016/j.cortex.2023.09.001. Epub 2023 Sep 27.
4
Depersonalization/Derealization Disorder and Neural Correlates of Trauma-related Pathology: A Critical Review.人格解体/现实解体障碍与创伤相关病理学的神经关联:一项批判性综述。
Innov Clin Neurosci. 2023 Jan-Mar;20(1-3):53-59.
5
Dissociation and its biological and clinical associations in functional neurological disorder: systematic review and meta-analysis.分离及其在功能性神经障碍中的生物学和临床关联:系统评价与荟萃分析
BJPsych Open. 2022 Dec 1;9(1):e2. doi: 10.1192/bjo.2022.597.
6
Trauma-related dissociation and the autonomic nervous system: a systematic literature review of psychophysiological correlates of dissociative experiencing in PTSD patients.创伤相关的解离与自主神经系统:创伤后应激障碍患者的解离体验的心理生理学相关因素的系统文献回顾。
Eur J Psychotraumatol. 2022 Nov 2;13(2):2132599. doi: 10.1080/20008066.2022.2132599. eCollection 2022.
7
Prevalence of the dissociative subtype of post-traumatic stress disorder: a systematic review and meta-analysis.创伤后应激障碍解离亚型的患病率:系统评价和荟萃分析。
Psychol Med. 2022 Jul;52(9):1629-1644. doi: 10.1017/S0033291722001647. Epub 2022 Jun 23.
8
A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence.与儿童尿失禁相关的生物心理社会因素的前瞻性队列研究。
Eur Child Adolesc Psychiatry. 2019 Jan;28(1):123-130. doi: 10.1007/s00787-018-1193-1. Epub 2018 Jul 6.
9
Recognizing and Referring Children with Posttraumatic Stress Disorder: Guidelines for Pediatric Providers.识别和转诊创伤后应激障碍儿童:儿科医疗服务提供者指南
Pediatr Rev. 2018 Feb;39(2):68-77. doi: 10.1542/pir.2017-0036.
10
The effects of childhood maltreatment on brain structure, function and connectivity.童年期虐待对大脑结构、功能和连接的影响。
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儿童创伤后应激障碍(PTSD)相关的发育倒退:一种定义不清且研究不足的现象。

Developmental regression associated with PTSD in children: a poorly defined and understudied phenomenon.

作者信息

Alameddine Abbas

机构信息

Department of Psychiatry, Hôtel-Dieu De France, Beirut, Lebanon.

出版信息

Scand J Child Adolesc Psychiatr Psychol. 2025 Jun 7;13(1):54-56. doi: 10.2478/sjcapp-2025-0006. eCollection 2025 Jan.

DOI:10.2478/sjcapp-2025-0006
PMID:40486672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12145200/
Abstract

Developmental regression (DR) is a clinically relevant phenomenon that is most recognized in neurodevelopmental disorders such as in autism spectrum disorder, but it is also described in association with psychological trauma and post-traumatic stress disorder (PTSD) in children. It is not uncommon for children with PTSD to present symptoms of DR, which manifests as a loss of recently acquired developmental skills such as toilet training or language skills. International diagnostic classifications are not consistent regarding DR nosology. There exists, however, some theoretical ground to group DR with the cluster of dissociative symptoms in PTSD. There is no agreement on how to define, classify and manage DR in PTSD due to a research gap, which require further studies.

摘要

发育倒退(DR)是一种具有临床相关性的现象,在神经发育障碍如自闭症谱系障碍中最为常见,但在儿童的心理创伤和创伤后应激障碍(PTSD)中也有相关描述。患有PTSD的儿童出现DR症状并不罕见,其表现为近期获得的发育技能丧失,如如厕训练或语言技能。关于DR的疾病分类,国际诊断分类并不一致。然而,有一些理论依据将DR与PTSD中的分离症状群归为一类。由于研究空白,对于如何定义、分类和管理PTSD中的DR尚无共识,这需要进一步研究。