gongyi020 发表于 2023-5-6 22:53:16

心理科普 | 关于儿童青少年分离性躯体形式障碍,你需要知道......

<div class="wx_rich_media_content" id="jsWxContainer"><section data-role="title" data-tools="135编辑器" data-id="119596" style="outline: 0px;"><section style="margin: 10px auto;outline: 0px;"><section style="outline: 0px;display: flex;justify-content: flex-start;align-items: center;"><section style="outline: 0px;width: 25px;"><span class="wxart_image" wx-style="display:inline-block;outline: 0px;vertical-align: inherit;display: block;transform: rotateY(180deg);width: 25px;visibility: visible !important;"></span></section></section><section style="outline: 0px;display: flex;align-items: center;"><section style="outline: 0px;flex-shrink: 0;display: flex;align-items: center;transform-style: preserve-3d;"><section style="padding-right: 15px;padding-left: 15px;outline: 0px;font-size: 16px;color: rgb(255, 255, 255);text-align: center;letter-spacing: 1.5px;line-height: 30px;background-color: rgb(255, 201, 86);border-radius: 6px 0px 0px 6px;"><strong data-brushtype="text" style="outline: 0px;">心理卫生小科普</strong></section><section style="margin-left: -1px;outline: 0px;width: 13px;height: 30px;transform: translateZ(5px);"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 26.26 60.81" style="display: block;transform: rotateY(180deg);transform: rotateY(180deg);-webkit-transform: rotateY(180deg);-moz-transform: rotateY(180deg);-ms-transform: rotateY(180deg);-o-transform: rotateY(180deg);"><g><g><path style="fill:#ffc956;" d="M26.26,60.81,2.93,37.48a10,10,0,0,1,0-14.15L26.26,0Z"></path></g></g></svg></section><section style="margin-left: -10px;outline: 0px;transform: translateZ(10px);"><section style="outline: 0px; width: 4px; height: 4px; border-radius: 100%; overflow: hidden;"><br style="outline: 0px;"></section></section></section><section data-width="100%" style="outline: 0px;width: 488.5px;"><section data-width="100%" style="outline: 0px;width: 488.5px;border-top: 1px dashed rgb(255, 201, 86);height: 1px;overflow: hidden;"><br style="outline: 0px;"></section></section><section style="outline: 0px;flex-shrink: 0;"><section style="outline: 0px;font-size: 16px;letter-spacing: 1.5px;color: rgb(255, 255, 255);background-color: rgb(255, 201, 86);width: 30px;height: 30px;line-height: 30px;text-align: center;border-radius: 100%;"><br style="outline: 0px;"></section></section></section></section></section><section data-role="paragraph" style="outline: 0px;"><p style="outline: 0px;"><span class="wxart_image" wx-style="display:inline-block;outline: 0px;vertical-align: inherit;width: 677px;visibility: visible !important;"></span></p></section><section data-tools="135编辑器" data-id="119598" style="outline: 0px;"><section style="margin: 10px auto;outline: 0px;transform-style: preserve-3d;"><section style="outline: 0px;display: flex;justify-content: flex-end;transform: translateZ(10px);"><section style="outline: 0px;width: 11px;"><br></section></section><section style="margin-top: -3px;margin-right: 5px;outline: 0px;display: flex;justify-content: flex-end;transform: translateZ(8px);"><section style="outline: 0px;display: flex;"><section style="padding-right: 10px; padding-left: 10px; outline: 0px; font-size: 16px; color: rgb(167, 125, 34); border-width: 1px; border-style: solid; border-color: rgb(255, 201, 86); border-radius: 25px 0px 0px 25px; line-height: 28px;">什么是分离性躯体形式障碍?<br style="outline: 0px;"></section></section></section><section style="margin-top: -20px;margin-right: 10px;outline: 0px;background-color: rgb(255, 201, 86);transform: translateZ(5px);"><section style="padding: 35px 15px 20px;outline: 0px;background-color: rgb(255, 247, 230);transform: translate(5px, -5px);"><section data-autoskip="1" style="outline: 0px; line-height: 1.75em; letter-spacing: 1.5px; color: rgb(167, 125, 34); background: transparent;"><p hm_fix="300:395" style="outline: 0px;"><span style="outline: 0px;color: rgb(51, 51, 51);text-indent: 28px;font-family: Helvetica, Arial, sans-serif;"><span style="color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal;">儿童少年以分离症状和转换症状为主要表现的精神障碍。又称癔症(hysteria)或歇斯底里。《国际疾病分类》第10版(ICD-10)和《精神疾病诊断与统计手册》第4版(DSNI-Ⅳ)中称为分离性躯体形式障碍。分离症状是部分或全部丧失对自我身份的识别和对过去回忆的症状;转换症状是在遭遇无法解决的问题和冲突时,把产生的不愉快心情转化为躯体症状的形式。该症状是由明显情绪因素所诱发的精神障碍现象,起病甚急,主要表现为感觉、意识或运动方面的障碍,症状无器质性基础。</span></span></p></section></section></section></section></section><section data-role="paragraph" style="outline: 0px;"><p style="outline: 0px;"><span class="wxart_image" wx-style="display:inline-block;outline: 0px;vertical-align: inherit;width: 677px;visibility: visible !important;"></span></p></section><section data-tools="135编辑器" data-id="119497" style="outline: 0px;"><section style="margin: 10px auto;outline: 0px;transform-style: preserve-3d;"><section style="outline: 0px;display: flex;justify-content: center;transform: translateZ(10px);"><section style="outline: 0px;font-size: 16px;letter-spacing: 1.5px;color: rgb(255, 255, 255);background-color: rgb(246, 205, 139);width: 50px;height: 50px;border-radius: 100%;text-align: center;line-height: 50px;transform: translateY(10px);">01</section></section><section style="margin-top: -20px;padding-right: 5px;padding-bottom: 5px;padding-left: 5px;outline: 0px;transform: translateZ(5px);"><section style="outline: 0px;background-color: rgb(255, 250, 240);border-radius: 25px;"><section hm_fix="415:526" style="padding: 45px 15px 20px;outline: 0px;border-width: 1px;border-style: solid;border-color: rgb(197, 201, 142);border-radius: 25px;transform: translate(-5px, 5px);"><section data-autoskip="1" style="outline: 0px; line-height: 1.75em; letter-spacing: 1.5px; background: transparent;"><p style="outline: 0px;text-align: center;"><span style="background-color: rgb(255, 255, 255);color: rgb(18, 18, 18);font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif;font-size: 1.2em;font-weight: 600;letter-spacing: normal;text-align: start;">流行特征</span><br></p><p data-pid="l2mZ9JcG" style="margin-top: 1.4em; margin-bottom: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">儿童癔症早在16世纪即有叙述,18世纪始有文献专论。进入20世纪中叶,儿童癔症的病例报道显著增多。国外有关资料统计此障碍的终身患病率女性为0.3%~0.6%,男性低于女性。国内12地区1982年调查表明,在普通人群中患病率约为3.55%。中国尚缺乏权威性流行病学资料。南京神经精神病防治院分析前后住院儿童1155例资料,报道其中癔症59例,占总数5.1%。儿童癔症有明显的集体发作特征,国内儿童集体癔症发作的报道有所增加。一般而言,儿童期癔症多发于学龄期儿童,女童多发,农村患病率较城市高,经济文化落后地区集体癔病发作频率较高,如中国雷州半岛地区发生的所谓“缩阳症”(癔症的一种表现形式)流行发作就很具代表性。</p></section></section></section></section></section></section><section data-tools="135编辑器" data-id="119497" style="outline: 0px;"><section style="margin: 10px auto;outline: 0px;transform-style: preserve-3d;"><section style="outline: 0px;display: flex;justify-content: center;transform: translateZ(10px);"><section style="outline: 0px;font-size: 16px;letter-spacing: 1.5px;color: rgb(255, 255, 255);background-color: rgb(246, 205, 139);width: 50px;height: 50px;border-radius: 100%;text-align: center;line-height: 50px;transform: translateY(10px);"><strong style="outline: 0px;">0</strong><strong data-original-title="" title="" data-num="2" style="outline: 0px;">2</strong></section></section><section style="margin-top: -20px;padding-right: 5px;padding-bottom: 5px;padding-left: 5px;outline: 0px;transform: translateZ(5px);"><section style="outline: 0px;background-color: rgb(255, 250, 240);border-radius: 25px;"><section hm_fix="361:564" style="padding: 45px 15px 20px;outline: 0px;border-width: 1px;border-style: solid;border-color: rgb(197, 201, 142);border-radius: 25px;transform: translate(-5px, 5px);"><section data-autoskip="1" style="outline: 0px; line-height: 1.75em; letter-spacing: 1.5px; background: transparent;"><p style="margin-bottom: 0.1rem;outline: none;text-align: center;-webkit-tap-highlight-color: rgba(0, 0, 0, 0);text-size-adjust: none;word-break: break-all;font-size: 15.12px;letter-spacing: -0.4px;font-family: system-ui, -apple-system, Helvetica, Arial, sans-serif;"><span style="color: rgb(18, 18, 18);font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif;font-size: 1.2em;font-weight: 600;letter-spacing: normal;text-align: start;">病因</span><span style="outline: 0px;color: rgb(12, 12, 12);font-family: PingFangSC-Regular;"></span></p><p data-pid="FWu2rGEJ" style="margin-top: 1.4em; margin-bottom: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">有无遗传特性尚无定论。有研究发现,一些癔症儿童的父母存在癔症病史或人格问题。儿童期癔症常为情绪因素所诱发,如委屈、气愤、紧张、恐惧、突发生活事件。父母教养方式不当更易促发。这类儿童大多存在性格幼稚特征,表现为情绪不稳定、反复无常和易受暗示等。导致以前发作的类同情景、事物、谈话内容等因素均具暗示作用,可诱导患儿癔症再次发作。有时首次发作后再次发病时不一定有明显的情绪诱因。躯体疾病、月经期、疲劳、体弱、睡眠不足等情况也容易促发。</p><h2 style="font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 1.2em; line-height: 1.5; font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; margin-top: calc(2.33333em); margin-bottom: calc(1.16667em); clear: left; font-synthesis: style; color: rgb(18, 18, 18); letter-spacing: normal; text-align: center; background-color: rgb(255, 255, 255);"><span style="font-synthesis: style;">临床表现</span></h2><p data-pid="pt7P9Yp9" style="margin-top: 1.4em; margin-bottom: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">分离型癔症和转换型癔症的临床表现存在一定的差异。</p><h3 style="font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 1.1em; line-height: 1.5; font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; margin-top: calc(1.90909em); margin-bottom: calc(1.27273em); clear: left; font-synthesis: style; color: rgb(18, 18, 18); letter-spacing: normal; background-color: rgb(255, 255, 255);"><span style="font-synthesis: style;">分离型癔症(tive hysteria)</span></h3><p data-pid="k-O15xpj" style="margin-top: 1.4em; margin-bottom: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">呈情感暴发。幼儿期表现为大哭大闹、四肢乱动、屏气、面色苍白或青紫、尿便失控等。较大儿童呈烦躁、哭闹、冲动,有的儿童毁物,有的拔头发,撕衣服,或在地上乱滚或四肢抽动。整个发作时间长短不一,发作后有部分遗忘。发作时间长短与周围人的关注态度和程度有关,在人多且易引起周围人注意的地方,持续时间较长。</p><h3 style="font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 1.1em; line-height: 1.5; font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; margin-top: calc(1.90909em); margin-bottom: calc(1.27273em); clear: left; font-synthesis: style; color: rgb(18, 18, 18); letter-spacing: normal; background-color: rgb(255, 255, 255);"><span style="font-synthesis: style;">转换型癔症(conversion hysteria)</span></h3><p data-pid="HhoYo5AK" style="margin-top: 1.4em; margin-bottom: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">表现为躯体功能障碍,以痉挛发作、瘫痪、失明失聪和失音等为主,如跌倒昏迷状、四肢挺直或角弓反张、四肢瘫痪和突然说不出话或声音嘶哑等。这类症状可在同一患者身上同时或前后出现。此型发作较少见,多受周围人发作的暗示影响。</p></section></section></section></section></section></section><section data-role="paragraph" style="outline: 0px;"><p style="outline: 0px;"><span class="wxart_image" wx-style="display:inline-block;outline: 0px;vertical-align: inherit;width: 677px;visibility: visible !important;"></span></p><section data-tools="135编辑器" data-id="119497" style="outline: 0px;"><section style="margin: 10px auto;outline: 0px;transform-style: preserve-3d;"><section style="outline: 0px;display: flex;justify-content: center;transform: translateZ(10px);"><section style="outline: 0px;font-size: 16px;letter-spacing: 1.5px;color: rgb(255, 255, 255);background-color: rgb(246, 205, 139);width: 50px;height: 50px;border-radius: 100%;text-align: center;line-height: 50px;transform: translateY(10px);"><strong style="outline: 0px;">0</strong><strong data-original-title="" title="" data-num="3" style="outline: 0px;">3</strong></section></section><section style="margin-top: -20px;padding-right: 5px;padding-bottom: 5px;padding-left: 5px;outline: 0px;transform: translateZ(5px);"><section style="outline: 0px;background-color: rgb(255, 250, 240);border-radius: 25px;"><section style="padding: 45px 15px 20px;outline: 0px;border-width: 1px;border-style: solid;border-color: rgb(197, 201, 142);border-radius: 25px;transform: translate(-5px, 5px);"><section data-autoskip="1" style="outline: 0px; line-height: 1.75em; letter-spacing: 1.5px; background: transparent;"><p style="margin-bottom: 8px;outline: 0px;text-align: center;font-size: 19px;color: rgb(31, 31, 31);line-height: 1.5em;font-family: Arial, Helvetica, sans-serif;-webkit-tap-highlight-color: rgba(0, 0, 0, 0) !important;"><span style="outline: 0px;color: rgb(12, 12, 12);font-size: 14px;font-family: PingFangSC-Regular;">   </span><span style="outline: 0px;font-size: 16px;"><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(12, 12, 12);font-family: PingFangSC-Regular;">癔症的治疗</span></strong></span></p><p style="margin-bottom: 8px;outline: 0px;font-size: 19px;color: rgb(31, 31, 31);line-height: 1.5em;font-family: Arial, Helvetica, sans-serif;-webkit-tap-highlight-color: rgba(0, 0, 0, 0) !important;"><span style="outline: 0px;color: rgb(12, 12, 12);font-size: 14px;font-family: PingFangSC-Regular;"></span><span style="outline: 0px;color: rgb(12, 12, 12);font-size: 14px;font-family: PingFangSC-Regular;"> </span></p><p data-pid="4JJEJMSK" style="margin-top: 1.4em; margin-bottom: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">包括心理治疗、环境治疗、暗示治疗和药物治疗。治疗前必须详细了解病史,包括个人生长史、个性特征、家庭环境及成员之间的关系及症状表现等。</p><h3 style="font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 1.1em; line-height: 1.5; font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; margin-top: calc(1.90909em); margin-bottom: calc(1.27273em); clear: left; font-synthesis: style; color: rgb(18, 18, 18); letter-spacing: normal; background-color: rgb(255, 255, 255);"><span style="font-synthesis: style;">心理治疗</span></h3><p data-pid="KJB5mKAx" style="margin-top: 1.4em; margin-bottom: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">医师必须与患儿建立信任关系,通过谈话消除其紧张、不安情绪,并鼓励患儿说出存在的问题和内心矛盾,共同寻找问题症结,再帮助患儿了解疾病原因,讲明此病可以治愈,使其建立治病的信心,克服不适当的性格特征和情绪反应,以达到治愈的目的。亦可进行集体心理治疗。</p><h3 style="font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 1.1em; line-height: 1.5; font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; margin-top: calc(1.90909em); margin-bottom: calc(1.27273em); clear: left; font-synthesis: style; color: rgb(18, 18, 18); letter-spacing: normal; background-color: rgb(255, 255, 255);"><span style="font-synthesis: style;">暗示疗法</span></h3><p data-pid="XunqcSu7" style="margin-top: 1.4em; margin-bottom: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">最有效的方法之一,适用于急性发作且暗示性较强的患儿。最常用言语暗示,即告诉患儿经过治疗会取得良好效果,并配合针灸、注射用水肌内注射或10%葡萄糖酸钙静脉注射、电兴奋治疗等。</p><h3 style="font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 1.1em; line-height: 1.5; font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; margin-top: calc(1.90909em); margin-bottom: calc(1.27273em); clear: left; font-synthesis: style; color: rgb(18, 18, 18); letter-spacing: normal; background-color: rgb(255, 255, 255);"><span style="font-synthesis: style;">改变环境</span></h3><p data-pid="4kHix-nr" style="margin-top: 1.4em; margin-bottom: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">对可能诱发集体发作的病例,应将首发患儿隔离开来,减少社会强化,及时解除其躯体不适,分散注意力,稳定其情绪。对起病急症状重,家庭护理困难者,可采用住院治疗。</p><h3 style="font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 1.1em; line-height: 1.5; font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; margin-top: calc(1.90909em); margin-bottom: calc(1.27273em); clear: left; font-synthesis: style; color: rgb(18, 18, 18); letter-spacing: normal; background-color: rgb(255, 255, 255);"><span style="font-synthesis: style;">药物治疗</span></h3><p data-pid="Yuz7_kgA" style="margin-top: 1.4em; margin-bottom: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">对情感暴发或某些痉挛发作患儿一般不宜使用暗示疗法,可给予地西泮或奋乃静肌内注射。必要时给予小剂量氯氮(利眠宁)短期应用。</p><h3 style="font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 1.1em; line-height: 1.5; font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; margin-top: calc(1.90909em); margin-bottom: calc(1.27273em); clear: left; font-synthesis: style; color: rgb(18, 18, 18); letter-spacing: normal; background-color: rgb(255, 255, 255);"><span style="font-synthesis: style;">其他治疗</span></h3><p data-pid="SqCyjP3Q" style="margin-top: 1.4em; margin-bottom: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">如针刺治疗、直流感应电兴奋治疗等。</p><h2 style="font-variant-numeric: inherit; font-stretch: inherit; font-size: 1.2em; line-height: 1.5; font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; margin-top: calc(2.33333em); margin-bottom: calc(1.16667em); clear: left; font-synthesis: style; color: rgb(18, 18, 18); letter-spacing: normal; background-color: rgb(255, 255, 255);"><span style="font-synthesis: style;">预防</span></h2><p data-pid="ZDnu_nlw" style="margin-top: 1.4em; color: rgb(18, 18, 18); font-family: -apple-system, BlinkMacSystemFont, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, sans-serif; font-size: medium; letter-spacing: normal; background-color: rgb(255, 255, 255);">淡化或消除不利因素,避免精神刺激来源;正面引导,避免粗暴打骂或变相惩罚,减轻患儿压力;动员家庭、学校等各方面的力量帮助患儿培养健全人格,提高对挫折的耐受性;接纳和包容;鼓励参加活动,培养广泛的兴趣爱好;树立正确的教养观念,避免过度溺爱或粗暴对待,避免不良暗示等。</p></section></section></section></section></section></section></section>转载声明:本文转载自「青少年儿童心理健康」,搜索「youngkids2020」即可关注,[<a target="_blank" href="https://mp.weixin.qq.com/s/qLzGD_ypQ8hHV3KziXFDGA">阅读原文</a>]。</div><p></p>

齐宝AI小助手 发表于 2023-5-6 22:53:20

分离性躯体形式障碍是一种心理疾病,最常见于儿童和青少年。其主要症状是身体上出现无法解释的疼痛、感觉异常、视力模糊等生理症状,但医学检查却无法发现任何明显的身体问题。

这种障碍可能是由于焦虑、压力、家庭变故、创伤经历等因素引起的,而且经过专业治疗通常会得到缓解。

如果你认为自己或你的孩子可能存在此类问题,请及时就医寻求精神科专业人士的帮助,以便得到诊断和治疗。同时,也应该积极与孩子沟通,关注并了解他们的情感状态和生活环境,给予适当的支持与安抚。
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