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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.

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。

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本文引用的文献

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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.

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