Monday, March 10, 2008
Childhood emotional disorders
Emotional obstacles outlined by psychological factors such as some mental stimulation, or as a result of family education misconduct as a result of the abnormal emotional performance so that their own children are suffering or affect social adaptation. Cause pathogenesis more reason, the genetic susceptibility onset quality has an important influence. Childhood shyness, sensitive or overly dependent easily create emotional disorders. Family factors and poor education, the child is over-protection too stringent and excessive demands. rude attitude and so may make a child emotional disorders. Suffered during childhood trauma, resulting in a profound emotional experience is common pathogenic factors. Physical disease or excessive tension fatigue, excessive burden on the study of the pathogenesis of them had an impact. Clinical manifestations children with emotional disorders main types are as follows : 1. Separation anxiety disorders (separation anxiety disorder) occur in preschool children. Performance of major apprehensive when their loved ones undue anxiety and trepidation, worry about their relatives may suffer accidents or fear that they are gone forever, and asked to stay at home, not go to school, such as sending children to school, telling headache, such as abdominal pain. Inspection nor abnormal signs. 2. Children terrorist barriers (phobia disorder of childhood) is abuse Tong lives general objective things or situations have too much fear, and continuing strong emotional reaction of terror than the actual existence of the degree of risk, while comforting explanation still have to remove fear, or even evasive, flinched affected their daily activities. When the alarm can be associated with pallor, palpitations, sweating, urinary frequency, mydriasis and other autonomic symptoms. Another major category of children on school performance of terror and strongly refused to go to school, long-term absenteeism, Obviously right school performance anxiety and fear and often appeal to the ill, but was unable to identify where their disease. and can learn at home, there is no other bad behaviors performance This is called school phobia (school phobia). Common in school-age children, girls than boys styles. School phobia of reasons, perhaps because the schools of the things fear, academic failure, tired of the study, with the mother or the fear of separation, and so on. 3. Social sensitivity disorder (social sensitivity disorder) most of which are found in 5 ~ 7-year-old children, mainly contacts with the surrounding environment, recurring too sensitive, tense fear, timid, shy, cowering and therefore reluctant to unfamiliar environment, and the fear of separation from the mother. 4. Children compulsive disorder (child obsession) are more common, repeated the performance, stereotyped concept of forced or compulsory moves, such as repeated hand-washing too, repeatedly check their behavior, meaningless counting, sequencing, repeated recalls had just done things or consider frivolous things. Children knew these ideas and action is unnecessary and meaningless, but they failed to exercise restraint. 5. Hysteria children (child hysteria) is common in children and women than men were seen. And families, education, whereas, the parents love their children too much vertical and protection of children are easy Hysteria occurred. Cultural procedures and families, the low level of superstition or local custom of children prone to hysteria. Clinical forms of attack types and basically the same as adults, a category of somatoform disorders is defined as non-performance of the organic movement, feeling or autonomic symptoms, known as conversion reaction; Another reaction to the separation performance for the attack consciousness Obscurity Emotional outbreak, abnormal behavior, Attack normal interval. With age, the attack was with an adult performance Hysteria is approximate. Hysteria diagnosis of a detailed understanding of the history and examination and ascertain the nature of incidence. Hysteria attack because of the variety of symptoms, often false, and the physical symptoms of nervous system symptoms, and they are easily misdiagnosed. especially in the physical disease accompanied by some mental factors easily misdiagnosed. 6. Children depression (child depression) occurred children in a sustained period of unpleasant mood, Depression, sadness crying, interest reduction, reduction, slower and less words, insomnia, anorexia at the core symptoms. With a small number of cases, and other adverse behavior. The disease usually occurs in the juvenile period, cause still unclear, may be due to multiple factors, including genetic factors, biochemical metabolic defects and environmental factors. Children depression diagnostic criteria, according to Weinberg summarized by the following four points : (1) bad mood and low self-assessment. (2) the following eight symptoms with two or two above : ① attacks; ② sleep disorders; ③ contacts with other reduced; ④ reluctant to go to school; ⑤ results decline; ⑥ somatic complaint; ⑦ energy shortage; ⑧ appetite and (or) weight change. (3) illustrate these symptoms in children with behavior change than usual. (4) The symptoms continue for at least one more week. According to the treatment of children with relevant factors and the incidence of symptoms, and it can be taken for psychological treatment, including behavior therapy, Game therapy and implied that the therapy. Patient education guide to help children with emotional restraint obstacles, establish sound brave and strong personality, encourage them to actively participate in collective activities to improve mood, enhance exchanges, enabling them to better adapt to the environment. In addition, they must help parents to teach children the right to improve the family environment, to reduce the right of children with adverse psychological effects. Drug treatment under the main symptoms of drug use. Of anxiety, fear Symptoms can take antidepressants, such as Diazepam, Nitrazepam, or with small doses of tricyclic antidepressants. If doxepin or amitriptyline in the treatment. Clomipramine in obsessive-compulsive disorder on children and depression have better results. Hysteria for the emotional impulse to cry or outbreaks, will be taking on his music, a small amount of haloperidol, chlorpromazine, and so on. According to the epidemiology of Shanghai (1984) 3000 survey of preschool children, various emotional problems incidence rate of 17.66%. Nanjing and Beijing child psychiatric clinic children with emotional disorders accounted for 21% and 11.6%, women more than men. Urban children with emotional disorders prevalence rate than rural ones.
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