Cognitive, Emotional, and Behavioral Disorders in Children with Respiratory Allergic Diseases: Causes and Solutions

N. Ustinova, Georgiy A. Karkashadze, L. S. Namazova-Baranova
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Abstract

The publication is devoted to the review of accumulated data on the relationship of respiratory allergopathology with neuropsychiatric disorders in childhood. The immediacy of the problem is due to the mutual influence of allergic and neuropsychiatric conditions combined in a child on the course of these diseases. According to research, the connection of respiratory allergic diseases with disorders of neurodevelopment, in particular with attention deficit and hyperactivity disorder and autism spectrum disorders, is clearly manifested, and the first publications on the connection with speech and other mild cognitive impairments have appeared. At the same time, the formation of depression, suicidal behavior, and anxiety disorders in respiratory allergopathology is being actively studied. It is assumed that the close relationship between nervous and immune regulation provides a high correlation of allergic and neuropsychiatric pathological conditions, although cause-and-effect relationships have not yet been precisely established. In this regard, it becomes relevant to introduce into clinical practice monitoring of cognitive status, neuropsychic development and possible symptoms of anxiety, depression and suicidal thoughts in the treatment of children with respiratory allergic diseases. Timely detection of violations will make it possible to provide specialized interventions at an early stage in order to achieve a favorable treatment result in the long term.
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呼吸道过敏性疾病患儿的认知、情感和行为障碍:原因与解决方案
本刊物专门回顾了有关儿童呼吸道过敏病理与神经精神障碍之间关系的累积数据。这一问题的紧迫性在于过敏性疾病和神经精神疾病在儿童身上的结合会对这些疾病的进程产生相互影响。根据研究,呼吸道过敏性疾病与神经发育障碍,特别是与注意力缺陷和多动症以及自闭症谱系障碍之间的联系已明显显现出来,并且首次出现了关于与语言和其他轻度认知障碍之间联系的出版物。同时,呼吸道过敏病理学中抑郁症、自杀行为和焦虑症的形成也在积极研究之中。神经和免疫调节之间的密切关系被认为是过敏和神经精神病理状况的高度相关性,尽管因果关系尚未精确确定。因此,在治疗呼吸道过敏性疾病患儿的临床实践中,对患儿的认知状态、神经心理发展以及可能出现的焦虑、抑郁和自杀念头等症状进行监测具有重要意义。及时发现违规行为将有可能在早期阶段提供专门的干预措施,以实现长期的良好治疗效果。
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