Rare Syndromes in Child and Adolescent Psychiatry: Three Case Reports
| Autor: | Marina Bježančević, Ivana Groznica Hržić, Zlatna Andraković, Vlatka Kovač, Stanislav Rogulja, Katarina Dodig-Ćurković |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Socijalna psihijatrija Volume 48 Issue 3 |
| ISSN: | 0303-7908 |
| Popis: | U razdoblju od samo nekoliko mjeseci više slučajeva iznimno rijetkih sindroma upućeno nam je na psihijatrijsku procjenu i liječenje. U radu ćemo opisati naša iskustva u liječenju bolesnika sa sindromom Cornelia de Lange, Neuhauserovim sindromom i sindromom Incontinentia pigmenti. U kliničkoj slici smo zamijetili niz preklapajućih popratnih psihičkih obilježja kojima smo pristupili na jedinstven i individualizirani način. Prva smetnja u fokusu terapije bila je nesanica, intervencijom smo uspješno poboljšali trajanje i kvalitetu sna. Prisutne smetnje pažnje i koncentracije su ublažene provođenjem neurofeedback tretmana, koji je ujedno imao blagotvoran učinak na smanjenje učestalosti samoozljeđivanja, agresije prema drugima i iritabilnosti. Zaključno, psihijatrijskim liječenjem djece s rijetkim sindromima nastupilo je poboljšanje kvalitete života djeteta i obitelji, a multidisciplinarni pristup omogućio je pružanje optimalne razine skrbi unutar bolničkog sustava. Over a period of a few months, several cases of extremely rare childhood syndromes were referred to us for psychiatric evaluation and treatment. We report three clinical cases with multiple overlapping psychological features: Cornelia de Lange, Neuhauser, and Incontinentia pigmenti syndrome. Each child was approached in a unique and individual way. The first issue considered in therapy was insomnia, and our intervention was effective, leading to improvements in duration as well as quality of sleep. Attention and concentration difficulties that were present were alleviated by neurofeedback treatment. At the same time, the treatment had a positive effect on the decrease of self-injury behavior, aggression, and irritability. To conclude, psychiatric treatment of children with rare syndromes improved the quality of life of the child and family, and the multidisciplinary approach provided the optimum level of care within the healthcare system. |
| Databáze: | OpenAIRE |
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