少儿期情感性精神障碍临床分析

目的探讨儿童情感性精神障碍的临床特征.方法 32例符合中国精神疾病分类方案与诊断标准第3版修订本中情感性精神障碍年龄≤16岁的患者(少儿组),与随机抽取的同期住院的32例成年人情感性精神障碍的患者(成年组)的临床特征进行对照分析.结果少儿组缓慢起病多于成年组,少儿组情感性精神障碍的核心症状与成年组无本质区别.其中在联想困难、自杀观念、体质量下降、乏力等症状少于成年组(P＜0.05),而焦虑、易激动、学习成绩下降等症状多于成年组(P＜0.01)(P＜0.05).少儿组有抑郁发作、躁动发作的行为问题,少儿组的幻听及行为怪异的行为多于成年组(P＜0.05).结论儿童与成年的情感性精神障碍可能是起病于不同年龄的同一疾病.

Clinical Analysis of Child and Adolescent Affective Disorder

ObjectiveTo explore the clinical characteristics of child and adolescent affective disorders.MethodsThe clinical characteristics in 32 child and adolescent patients under the age of 16, who met the CCMD-3-R criteria for affective disorder were analyzed and compared with adult patients with the same disorder who admitted into hospital during the same time.ResultsThere was no obvious difference between the core symptoms of child and adult affective disorder. With depression, there was more anxiety and agitation while less, suicide attempt, weight loss, fatigue than adults. Child and adolescent patients showed more psychotic symptoms such as hallucination and strange action compared with adults.ConclusionChild and adult affective disorder may be the same disorder only with the different onset age.