青少年转化障碍：1例临床详细报告

Q4 Medicine

Psiquiatria Biologica Pub Date : 2025-02-13 DOI:10.1016/j.psiq.2025.100713

Mateo Andrade , Dennis Olmedo

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引用次数: 0

摘要

转换障碍，或功能性神经障碍，是一种以神经系统症状为特征的复杂疾病，没有潜在的器质性医学原因。本文报告一名15岁女性青少年被诊断为转化障碍的临床病例分析。目的详细分析导致症状出现的心理生物学、社会和环境因素，并描述所采用的诊断和治疗策略。方法对在厄瓜多尔基多住院治疗的1例女性青少年进行观察性研究。纳入标准为确诊为转化障碍并获得患者及其父母的知情同意和同意。通过病史记录收集数据。由于研究的描述性，不需要进行统计分析。结果对患者进行了缺氧、失眠、快感缺乏、自杀意念和明显的精神运动倒退的评估。在住院期间，她表现出上肢零星和剧烈的运动，并伴有与周围环境脱节的发作。所做的检查，包括脑电图、计算机断层扫描和脑MRI，未发现结构异常或癫痫样活动。转换障碍的诊断是根据DSM-5标准确定的，排除了其他神经和精神疾病。治疗包括药物治疗以及行为和家庭治疗。将母亲纳入治疗过程有助于显著改善，反映在自杀风险的降低和行为改变的减少上。讨论与结论本案例强调了全面评估和综合管理青少年转化障碍治疗的重要性，多学科干预的价值，以及家庭参与在康复中的关键作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Conversion disorder in adolescence: Detailed report of a clinical case

Introduction

Conversion disorder, or functional neurological disorder, is a complex condition characterized by neurological symptoms without an underlying organic medical cause. This paper presents a clinical case analysis of a 15-year-old female adolescent diagnosed with conversion disorder.

Objective

To detail the psychobiological, social, and environmental factors that contribute to the appearance of symptoms, as well as to describe the diagnostic and therapeutic strategies applied.

Method

This is an observational study focused on the case report of a female teenager hospitalized in Quito, Ecuador. The inclusion criteria were a confirmed diagnosis of conversion disorder and informed consent and assent from the patient and her parents. Data were collected through medical history recording. No statistical analysis was required due to the descriptive nature of the study.

Results

The patient was evaluated for hyporexia, insomnia, anhedonia, suicidal ideation, and significant psychomotor regression. During her hospitalization, she exhibited sporadic and violent movements of her upper extremities, along with episodes of disconnection from her surroundings. The examinations performed, including electroencephalogram, computed tomography, and brain MRI, did not reveal structural abnormalities or epileptiform activity. The diagnosis of conversion disorder was confirmed according to DSM-5 criteria, ruling out other neurological and psychiatric conditions. Treatment included pharmacological therapy along with behavioral and family therapy. The inclusion of the mother in therapy sessions contributed to significant improvement, reflected in the decrease in suicidal risk and the reduction of behavioral alterations.

Discussion and conclusion

This case highlights the importance of thorough evaluation and comprehensive management in the treatment of conversion disorder in adolescents, the value of multidisciplinary intervention, and the crucial role of family involvement in recovery.

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来源期刊

Psiquiatria Biologica Medicine-Psychiatry and Mental Health

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Es la Publicación Oficial de la Sociedad Española de Psiquiatría Biológica. Los recientes avances en el conocimiento de la bioquímica y de la fisiología cerebrales y el progreso en general en el campo de las neurociencias han abierto el camino al desarrollo de la psiquiatría biológica, fundada sobre bases anatomofisiológicas, más sólidas y científicas que la psiquiatría tradicional.