Clark A F, Lewis S W
University of Manchester, UK.
J Child Psychol Psychiatry. 1998 Nov;39(8):1071-81.
This paper reviews the management of schizophrenia occurring during childhood and adolescence. It considers the clinical features of the disorder particular to its early onset before providing a practical framework for assessment and treatment based upon a critical review of the available literature. A multi-modal approach to treatment encompassing the individual and their family is adopted with the roles of pharmacological, psychological, and environmental interventions all considered. The place of the newer "atypical" antipsychotic agents and the likelihood that they will soon become the first-line drugs of choice is particularly discussed.
本文综述了儿童期和青少年期精神分裂症的管理。在基于对现有文献的批判性综述为评估和治疗提供实用框架之前,先考虑了该疾病早期发作所特有的临床特征。采用了一种涵盖个体及其家庭的多模式治疗方法,同时考虑了药物、心理和环境干预的作用。特别讨论了新型“非典型”抗精神病药物的地位以及它们很快将成为一线首选药物的可能性。