Psychiatric comorbidities in common genetic disorders with physical disability

Pediatric health Pub Date : 2010-12-17 DOI:10.2217/PHE.10.65
F. Maalouf, Camelia Hatoum, M. Atwi, R. Boustany
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Abstract

The burden of genetic disorders associated with physical disabilities and psychiatric disorders is connected to increasing healthcare expenses and demands on the patients and their caregivers. Psychiatric comorbidities such as anxiety and mood disorders affect a large number of children and adolescents with genetic disorders, leading to poor quality of life and impaired psychological adjustment. Research on this population is scarce compared with studies on the comorbidity of psychiatric problems with physical illnesses (e.g., endocrine disorders and neurological problems). The aim of this review is to focus on the most prevalent genetic disorders that cause physical disability and are most commonly associated with psychiatric disorders in children and adolescents. These include Duchenne muscular dystrophy, neurofibromatosis, myotonic dystrophy, hemophilia, Turner syndrome, Klinefelter’s syndrome, tuberous sclerosis complex, fragile X syndrome and velo-cardio-facial syndrome.
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常见遗传性疾病与身体残疾的精神合并症
与身体残疾和精神疾病相关的遗传疾病的负担与不断增加的医疗保健费用和对患者及其护理人员的需求有关。焦虑和情绪障碍等精神合并症影响了大量患有遗传性疾病的儿童和青少年,导致生活质量差和心理适应受损。与精神疾病与身体疾病(如内分泌失调和神经问题)共病的研究相比,对这一人群的研究很少。本综述的目的是关注儿童和青少年中最常见的导致身体残疾和最常与精神疾病相关的遗传疾病。这些疾病包括杜氏肌营养不良症、神经纤维瘤病、肌强直性营养不良症、血友病、特纳综合征、Klinefelter综合征、结节性硬化症、脆性X综合征和velo-cardio-facial综合征。
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