Theophrastus的Anaisthetos跨诊断演示:对Pehlivanidis和Papanikolaou(2022)的评论。

Q3 Medicine
Marcelo M Victor, Bruna S da Silva, Claiton H D Bau, Eugenio H Grevet
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引用次数: 0

摘要

我们很高兴读到Pehlivanidis和Papanikolaou的文章,并且看到越来越多的同事认识到Theophrastus的文章是对注意力缺陷多动障碍(ADHD)的第一个描述我们同意作者的观点,Theophrastus的描述可能表明存在不止一种神经发育障碍。事实上,Theophrastus的描述与ADHD和社会语用沟通障碍(SPCD)的共同临床症状和潜在神经发育机制一致。令人着迷的是,2000多年前的描述已经呈现出与现代精神病学生物学观点相容的典型个体跨诊断方面。事实上,自医学诞生以来,具有明确生物学基础的遗传特征就已经被发现,这并不意外。几十年前,克莱门茨(1966)发表了一项由美国国立卫生研究院赞助的名为“儿童最小脑功能障碍”的项目,这是该领域发展的一个重大飞跃。这项开创性的工作为正在进行的对各种神经发育障碍中观察到的体征、症状和生物因素分组的理解奠定了基础。这种分组可以以不同的范围、比例和细微差别出现,包括儿童和成人,他们的一些障碍不能仅仅用他们的认知能力来解释。因此,泰奥弗拉斯托斯对“钝器人”的描述可以被认为是我们所说的神经发育障碍这种更完整、更少碎片化观点的一个典型案例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Theophrastus's Anaisthetos Transdiagnostic Presentation: comment on Pehlivanidis and Papanikolaou (2022).

We were pleased to read Pehlivanidis and Papanikolaou's article1 and see that more colleagues are recognizing Theophrastus' text as the first description of Attention Deficit Hyperactivity Disorder (ADHD).2 We agree with the authors' perspective that Theophrastus' description may suggest the presence of more than one neurodevelopmental disorder. In fact, Theophrastus' description aligns with the shared clinical symptoms and underlying neurodevelopmental mechanisms of ADHD and Social Pragmatic Communication Disorder (SPCD). It is fascinating that a description from over 2000 years ago already presented prototypical individual transdiagnostic aspects that are compatible with a modern biological view of psychiatry. Indeed, it is not unexpected that heritable traits with clear biological underpinnings should have been perceived since the dawn of medicine. A significant leap forward in the development of this field came a few decades ago when Clements (1966)3 published a NIH-sponsored project entitled 'Minimal Brain Dysfunction in Children.' This seminal work prepared the terrain for the ongoing understanding of the grouping of signs, symptoms, and biological factors observed across various neurodevelopmental disorders. This grouping can be present in different spectrums, proportions, and nuances, including children and adults with some impairments that are not solely explained by their cognitive abilities. Thus, the characterization of 'The Obtuse Man' by Theophrastus could be considered a prototypical case of this more integrated and less fragmented view of what we call neurodevelopmental disorders.

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来源期刊
Psychiatrike = Psychiatriki
Psychiatrike = Psychiatriki Medicine-Medicine (all)
CiteScore
2.60
自引率
0.00%
发文量
37
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