Reid A H
J Ment Defic Res. 1980 Dec;24 Pt 4:287-98. doi: 10.1111/j.1365-2788.1980.tb00082.x.
The clinical psychiatric syndromes encountered in sixty mentally retarded children treated in a child psychiatric out-patient clinic setting are described. It was possible to classify these syndromes according to the multi-axial classification scheme for psychiatric disorders in childhood and adolescence. The children were followed-up for some years in many cases and the natural history of these disorders was in the main comparable to that of similar disorders in children of normal intelligence, although there was a tendency for some of the disorders to prove unusually persistent. Sometimes the persistence of these disorders seemed to be related to the children's continuing dependency needs arising from their mental retardation and to stresses within the family circle. The disorders responded reasonably satisfactorily to standard child psychiatric treatment techniques, and child psychiatric services should include the assessment and treatment of psychiatric disorders in mentally handicapped children within their remit.
本文描述了在儿童精神科门诊接受治疗的60名智力发育迟缓儿童所出现的临床精神综合征。根据儿童及青少年精神障碍的多轴分类方案，有可能对这些综合征进行分类。在许多情况下，对这些儿童进行了数年的随访，这些障碍的自然病程在很大程度上与智力正常儿童的类似障碍相当，尽管有些障碍有异常持久的倾向。有时，这些障碍的持续存在似乎与儿童因智力发育迟缓而持续存在的依赖需求以及家庭环境中的压力有关。这些障碍对标准的儿童精神科治疗技术反应相当令人满意，儿童精神科服务应将智障儿童精神障碍的评估和治疗纳入其职责范围。
