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Neuropsychiatrie de l''Enfance et de l''Adolescence最新文献

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Agenda 议程
Q4 Medicine Pub Date : 2025-09-01 Epub Date: 2025-09-25 DOI: 10.1016/j.neurenf.2025.09.002
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引用次数: 0
Aux origines de la Grille Alternative Psychomotricité Prématurité Environnement Affectivité (GAPPEA) : une démarche de recherche clinique Psychomotricite prematurite环境情感(GAPPEA):一种临床研究方法
Q4 Medicine Pub Date : 2025-09-01 Epub Date: 2025-08-07 DOI: 10.1016/j.neurenf.2025.03.011
M. Perrier Genas , J. Boutinaud

Objectives

The article presents the genesis, functioning and content of the GAPPEA grid (Grille Alternative Psychomotricité Environnement Affectivité – Alternative Psychomotricity Environment Affectivity Grid), which was devised based on needs encountered in clinical practice in CAMSPs when dealing with premature babies and their families. It responds to the need to develop a new and original tool used by psychomotricians to guide and refine their clinical observations in this field.

Patients and methods

The grid takes up and puts to work preliminary studies on cohorts of 8-month-old babies, but it also involves the networking of several dozen psychomotricians around its use. It is based on a quantitative and qualitative approach.

Results

The grid was constructed as a guide for observing specific elements exploring different areas in terms of psychomotricity and is divided into five areas of observation (first observations, the baby's psychomotor discoveries, parent/child interaction and links, the baby's response to the psychomotrician's requests, links between the clinician and the family) with specific items presented in detail for each area. It gives pride of place to issues relating to parents.

Discussion

In terms of its experimental use, the grid is original in relation to existing supports and is adapted to the needs of psychomotricians working in this clinical field. The positive feedback received from professionals who have used it testifies to its usefulness.

Conclusions

The genesis and initial uses of GAPPEA suggest that it should be used in new ways in the field of clinical approaches to babies. Putting it to the test in new ways will also allow it to be transformed and even calibrated later.
本文介绍了GAPPEA网格(格栅替代性心理活动环境情感栅格-替代性心理活动环境情感栅格)的起源、功能和内容。GAPPEA网格是基于camsp在处理早产儿及其家庭的临床实践中遇到的需求而设计的。它回应了需要开发一种新的和原始的工具,用于精神测量学家指导和完善他们在这一领域的临床观察。患者和方法网格在8个月大的婴儿中进行了初步研究,但它也涉及到数十名精神病学家在其使用方面的联系。它以定量和定性方法为基础。结果构建的网格作为观察特定元素的指南,探索不同的精神运动领域,并分为五个观察领域(首次观察、婴儿的精神运动发现、亲子互动和联系、婴儿对精神医生要求的反应、临床医生与家庭之间的联系),每个领域都有具体的详细项目。它把与父母有关的问题放在最重要的位置。讨论就其实验用途而言,网格是与现有支持相关的原创,并且适应了在该临床领域工作的心理测量学家的需要。从使用过它的专业人士那里得到的积极反馈证明了它的有用性。结论GAPPEA的起源和初步应用提示其在婴儿临床方法领域有新的应用前景。以新的方式对其进行测试也将使其能够在以后进行改造甚至校准。
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引用次数: 0
Q4 Medicine Pub Date : 2025-09-01 DOI: 10.1016/j.neurenf.2025.06.004
Y. Gansel
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引用次数: 0
Agenda 议程
Q4 Medicine Pub Date : 2025-09-01 Epub Date: 2025-09-09 DOI: 10.1016/j.neurenf.2025.08.002
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引用次数: 0
Mise à l’épreuve de la Grille Alternative Psychomotricité Prématurité Environnement Affectivité (GAPPEA) via la clinique de la prématurité 通过早产儿诊所测试替代Psychomotricite Prematurite环境情感(GAPPEA)
Q4 Medicine Pub Date : 2025-09-01 Epub Date: 2025-08-07 DOI: 10.1016/j.neurenf.2025.07.002
M. Perrier Genas , J. Boutinaud

Objectives

This article presents an implementation of the GAPPEA grid (Grille Alternative Psychomotricité Environnement Affectivité–Alternative Psychomotor Environment Affectivity Grid), based on the needs encountered in clinical practice in CAMSP with regards to babies born prematurely and their families.

Patients and method

The grid was tested on a cohort of 81 8-month-old babies (8 months of age, real or corrected, including premature babies) involving the networking of several dozen psychomotor therapists around its use.

Results

In addition to the feedback received from the psychomotricians who took part in the study and who emphasised the points of interest, the use of the grid made it possible to specify certain particularities and weaknesses in the psychomotor development of premature babies (sensory irritability, prevalence of hyper-extension patterns, undesirable effects of sitting, etc.) as well as their impact on the psychomotor development of premature babies. It also defined their impact on interactions with parents (which were measured here via their effects on carrying, feeding, play and communication).

Discussion

In light of this experiment, the use of the grid enabled an in-depth clinical reading of the potential and difficulties of the babies concerned, facilitating better identification of certain clinical signs and their issues. It also defined precise indications for thinking about their care and guiding parents on very concrete aspects.

Conclusions

The use of the grid in this context underlines the relevance of its handling, thus opens the possibility of diversifying its use and improving it in the future through other research by using it as a support. It offers a practical and useful tool for psychomotricians in their assessment and care activities in the field of therapeutic support for babies and their parents.
目的:本文根据CAMSP临床实践中早产儿及其家庭的需求,提出了GAPPEA网格(格栅替代性心理运动-环境-情感-环境-情感网格)的实施方法。研究人员对81名8个月大的婴儿(8个月大,真实或矫正,包括早产儿)进行了网格测试,并与数十名精神运动治疗师就网格的使用建立了联系。结果除了从参与研究的心理医生那里得到的反馈和他们强调的兴趣点之外,网格的使用使得可以明确早产儿心理运动发展的某些特殊性和弱点(感觉烦躁、过度伸展模式的流行、坐着的不良影响等)以及它们对早产儿心理运动发展的影响。它还定义了它们对与父母互动的影响(这里通过它们对携带、喂养、玩耍和交流的影响来衡量)。根据本实验,网格的使用可以对相关婴儿的潜力和困难进行深入的临床阅读,有助于更好地识别某些临床症状及其问题。它还定义了考虑照顾孩子的精确指示,并在非常具体的方面指导父母。在这种情况下,网格的使用强调了其处理的相关性,从而打开了多样化使用的可能性,并在未来通过其他研究将其作为一种支持来改进它。它为心理医生在对婴儿及其父母的治疗支持领域的评估和护理活动提供了一个实用和有用的工具。
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引用次数: 0
Éthique du toucher en psychiatrie de l’enfant et de l’adolescent : dialectique entre théorie et pratique 儿童和青少年精神病学中的触摸伦理学:理论与实践的辩证法
Q4 Medicine Pub Date : 2025-09-01 Epub Date: 2025-04-25 DOI: 10.1016/j.neurenf.2025.03.005
A. Vachez-Gatecel , F. de Sainte Maréville
Because it is within the possibility of caring for others, touch is at the very basis of ethics. It is central to the work of touch professionals, especially when dealing with children and adolescents in the field of child psychiatry. Questions are raised daily, and post-coup work becomes necessary because of the ambivalence and confusion surrounding this sense. This article focuses on the practice of psychomotricians. Their experience is invaluable in establishing a therapeutic and ethical framework for achieving the right distance between carer and cared-for. Two clinical vignettes illustrate this practice regarding touch but not without first addressing the historical-medical-philosophical dimension of this sense. Psychomotricians draw on the phenomenology of Merleau-Ponty, among others. Merleau-Ponty's thinking is based on touch, the sense of mediation between the surface and depth of being, but also on the paradigm of our relationship with the world, which is highlighted by the experience of touching–touched. It is only through rigorous elaboration and reflection that the use of touch in child psychiatry, whatever the pathological difficulties, can be therapeutic: containing and enveloping without embracing, exciting or coercing…
因为它是在照顾他人的可能性之内,触摸是伦理的基础。这是触摸专业人员工作的核心,特别是在儿童精神病学领域处理儿童和青少年时。问题每天都在提出,由于围绕这种感觉的矛盾心理和混乱,政变后的工作变得必要。本文的重点是精神测量师的实践。他们的经验在建立治疗和伦理框架以实现照顾者和被照顾者之间的适当距离方面是无价的。两个临床小插曲说明了这种关于触摸的实践,但不是没有首先解决这种感觉的历史-医学-哲学维度。心理测量学借鉴了梅洛-庞蒂的现象学等。梅洛-庞蒂的思考基于触摸,即存在的表面和深度之间的中介感,但也基于我们与世界关系的范式,这是由触摸-被触摸的经验所突出的。只有通过严格的阐述和反思,在儿童精神病学中使用触摸,无论病理困难如何,都可以起到治疗作用:包容和包围,而不是拥抱,刺激或强迫……
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引用次数: 0
Retrait scolaire : deux mots pour rassembler, comprendre et agir 离校两个词:团结、理解和行动
Q4 Medicine Pub Date : 2025-09-01 Epub Date: 2025-09-25 DOI: 10.1016/j.neurenf.2025.09.003
N. Catheline, L. Gicquel
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引用次数: 0
Le syndrome de dysfonctions non verbales (SDNV) : actualisation des connaissances et analyse d’une cohorte de 89 patients traités dans le centre expert Resodys 非语言功能障碍(NDSD):对在Resodys专家中心接受治疗的89名患者进行知识更新和分析
Q4 Medicine Pub Date : 2025-09-01 Epub Date: 2025-07-09 DOI: 10.1016/j.neurenf.2025.06.002
A. Joffroy-Frixons , P. Colas , K. Abed , M. Gruel , M. Habib
The so-called Non-Verbal Learning Disabilities (NVLD) syndrome is a type of learning disorder that is frequently discussed in clinical, educational, and community contexts, particularly in Anglo-Saxon countries and Quebec. However, its nosographic identity remains undefined, which hinders the early identification of affected children and adolescents and consequently delays diagnosis and the implementation of appropriate intervention protocols. In France, the term is gradually gaining recognition among professionals involved in learning disorders, while its specific impacts on daily, academic, and social life are also becoming more acknowledged. This article has three main objectives: 1/to provide an overview of current knowledge regarding the presentation and mechanisms of the disorder through a brief literature review focused on recent publications, including two meta-analyses and a summary of the few neuroimaging studies dedicated to it; 2/to address ongoing questions regarding the clinical reality of the disorder and its classification among learning disabilities and, more broadly, neurodevelopmental disorders (NDDs) by analyzing a cohort of 89 patients recently admitted to the Résodys center which is specialized in the care of severe learning disorders in the PACA region of France; 3/finally, in light of these findings, to examine the relevance of a new set of diagnostic criteria for clinicians, adopting a dimensional rather than categorical approach to better support affected children and adolescents. We thus propose a new perspective on this syndrome—one that no longer focuses on deviation from the norm but rather on two key observations: the multiplicity of moderately or partially affected cognitive domains, and the intra-individual performance discrepancies among these domains, particularly verbal and nonverbal. From this standpoint, our clinical experience diverges from a portion of the recent literature that equates NVLD with visuospatial disorder. More than an isolated cognitive deficit, the hallmark of this syndrome seems to lie in the coexistence of subtle impairments across several domains—even at a subclinical level. Though still limited, neuroimaging data tend to support the hypothesis of impaired connectivity among neural networks that jointly contribute to several of the cognitive functions involved.
所谓的非语言学习障碍(NVLD)综合征是一种学习障碍,在临床、教育和社区环境中经常被讨论,特别是在盎格鲁-撒克逊国家和魁北克。然而,其病源特征仍然不明确,这阻碍了受影响儿童和青少年的早期识别,从而延误了诊断和适当干预方案的实施。在法国,这个词逐渐得到了研究学习障碍的专业人士的认可,而它对日常、学术和社会生活的具体影响也越来越得到认可。本文有三个主要目标:1/通过对近期出版物的简要文献回顾,包括两项荟萃分析和对少数神经影像学研究的总结,概述有关该疾病的表现和机制的当前知识;2/通过分析最近在法国PACA区域专门治疗严重学习障碍的r sodys中心收治的89名患者的队列,解决有关该疾病的临床现实及其在学习障碍和更广泛的神经发育障碍(ndd)中的分类的持续问题;3 .最后,根据这些发现,审查一套新的诊断标准对临床医生的相关性,采取一种面向而非分类的办法,以便更好地支持受影响的儿童和青少年。因此,我们提出了一种新的视角来看待这种综合症——不再关注偏离规范,而是关注两个关键观察:中度或部分受影响的认知领域的多样性,以及这些领域之间的个体内部表现差异,特别是语言和非语言。从这个角度来看,我们的临床经验与最近将NVLD等同于视觉空间障碍的部分文献不同。这不仅仅是一种孤立的认知缺陷,这种综合征的标志似乎在于多个领域的细微损伤共存——甚至在亚临床水平上。尽管仍然有限,但神经成像数据倾向于支持神经网络之间连接受损的假设,这些神经网络共同导致了一些相关的认知功能。
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引用次数: 0
Aspects relationnels impliqués dans l’efficacité des psychotropes chez l’enfant et l’adolescent : modèles théoriques, illustrations cliniques, recommandations 与儿童和青少年精神药物疗效相关的关系方面:理论模型、临床插图、建议
Q4 Medicine Pub Date : 2025-09-01 Epub Date: 2025-05-06 DOI: 10.1016/j.neurenf.2025.04.002
X. Benarous , C. Hanin , D. Cohen

Objectives

This article examines how relational aspects contribute to the effectiveness of prescribing psychotropic drugs to children and adolescents. This psychological component is often referred to as the “placebo effect” or “non-specific effects” in clinical research.

Method

This narrative review synthesizes data from epidemiological studies, clinical trials, and experimental psychology regarding the relational factors that influence response levels to psychotropic medications in the pediatric population.

Results

The literature findings have been integrated into a theoretical model inspired by systems theory and developmental psychology. This interactionist model emphasizes the connections between the pre-existing perceptions of medication held by parents and children, and how these perceptions influence their beliefs and attitudes toward medication.

Discussion

Representations of medication are shaped by developmental issues and parental life experiences. These factors can be addressed during consultations to mitigate their effects. The prescriber has a crucial role in acknowledging these representations and assisting in their interpretation. Clinical examples are provided to illustrate how these representations manifest during treatment.

Conclusions

Guidelines for best practices must consider the significance of relational factors at every stage of prescribing psychotropic medications to children and adolescents to optimize their therapeutic effects.
目的探讨关系因素如何影响儿童和青少年精神药物处方的有效性。在临床研究中,这种心理成分通常被称为“安慰剂效应”或“非特异性效应”。方法综合流行病学研究、临床试验和实验心理学数据,探讨影响儿童对精神药物反应水平的相关因素。结果在系统论和发展心理学的启发下,将文献研究成果整合为理论模型。这种互动模式强调父母和孩子对药物的预先认知之间的联系,以及这些认知如何影响他们对药物的信念和态度。药物的表现是由发育问题和父母的生活经历决定的。这些因素可在协商期间加以处理,以减轻其影响。处方者在承认这些陈述并协助其解释方面起着至关重要的作用。提供了临床实例来说明这些表征如何在治疗期间表现出来。结论最佳实践指南应在儿童和青少年精神药物处方的各个阶段考虑相关因素的重要性,以优化其治疗效果。
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引用次数: 0
Justine Tobolowska (1875–1937), élève d’André Collin (1879–1926), première femme psychiatre de l’enfant et de l’adolescent 贾斯汀·托波洛夫斯卡(Justine Tobolowska, 1875年- 1937年),安德烈·科林(Andre Collin, 1879年- 1926年)的学生,第一位女性儿童和青少年精神病学家。
Q4 Medicine Pub Date : 2025-09-01 Epub Date: 2025-06-04 DOI: 10.1016/j.neurenf.2025.05.004
D. Tiberghien , M. Caire
<div><div>Au XIX<sup>e</sup> siècle, Louis Delasiauve (1804–1893), Auguste Voisin (1829–1898), Paul Moreau de Tours (1844–1908), Désiré-Magloire Bourneville (1840–1909) furent de ceux qui, parmi les aliénistes, ont les premiers porté un intérêt aux troubles mentaux chez l’enfant, bien avant que ne naisse la psychiatrie de l’enfant, en 1937. Justine Tobolowska est dans ce domaine l’une des premières et principales pionnières, en un temps où la médecine s’ouvre peu à peu aux femmes. Née le 10 février 1875 à Varsovie du temps de la Pologne russe, elle s’expatrie en France en 1893 et débute ses études de médecine à Paris l’année suivante. Successivement externe des hôpitaux de Paris (1895–1897) et interne provisoire des asiles d’aliénés de la Seine (1898), elle soutient en 1900 sa thèse de doctorat consacrée aux illusions dans les rêves. Après quelques publications avec Eugène-Bernard Leroy (1871–1932), elle s’oriente vers la psychiatrie infantile par sa rencontre avec André Collin (1879–1926), fondateur de la psychopédiatrie (1924), une spécialité éphémère assimilée par la suite à la neuropsychiatrie infantile. Dans les années 1920, J. Tobolowska exerce avec lui au dispensaire de la rue de Jouy, à Paris. En 1924, elle est sa collaboratrice dans un centre de psychopédiatrie installé dans une école publique de la ville de Suresnes. Dans les années 1930, elle assure aussi des consultations de neuropsychiatrie à l’Institut de prophylaxie de Paris fondé par Arthur Vernes (1879–1976), le futur <em>Institut Vernes</em>. Les quelques publications qu’elle nous a laissées la montrent avant tout clinicienne, où la question du développement de l’enfant a toute son importance, comme l’enseignait A. Collin. Au regard de son parcours médical et de sa collaboration avec A. Collin, J. Tobolowska apparaît ainsi la première femme psychiatre de l’enfant et de l’adolescent. Féministe en herbe, elle décède le 12 septembre 1937 à Bayonne, probablement dans les suites d’une intervention chirurgicale. Elle a 62 ans.</div></div><div><div>At the end of the 19th century the medical profession was still considered to be a man's job. During that century, Louis Delasiauve (1804–1893), Paul Moreau de Tours (1844–1908), Auguste Voisin (1829–1898), and Désiré-Magloire Bourneville (1840–1909) were adult alienists; they were nevertheless interested in mental disorders in children even before the birth of child psychiatry (1937). Justine Tobolowska (1875–1937) was born on 10 February 10, 1875, in Warsaw during the time of Russian Poland. In 1893, she arrived alone in France having come to Paris to study medicine. Her father was a doctor and had remained in Warsaw with his wife and his two other children. In 1894, she passed the externat examination at the Paris hospitals. Between 1895 and 1897 she received master's degrees in neurology and psychiatry with the topics being : Gilbert Ballet (1853–1916), Philippe Chaslin (1857–1923), and Gaston Deny (1947–1923). Her pediatric master's deg
在19世纪,Louis Delasiauve (1804 - 1893), Auguste Voisin (1829 - 1898), Paul Moreau de Tours (1844 - 1908), Desire -Magloire Bourneville(1840 - 1909)是最早引起人们对儿童精神疾病兴趣的精神病学家,早在1937年儿童精神病学出现之前。贾斯汀·托博洛夫斯卡(Justine Tobolowska)是这一领域的早期和主要先驱之一,当时医学正逐渐向女性开放。她于1875年2月10日出生于俄罗斯波兰统治时期的华沙,1893年移居法国,次年在巴黎开始学医。她先后在巴黎医院(1895 - 1897年)和塞纳河精神病患者收容所(1898年)担任外部人员,1900年,她完成了关于梦中的幻觉的博士论文。在与尤金-伯纳德·勒罗伊(Eugene -Bernard Leroy, 1871年- 1932年)发表了几篇论文后,她通过与安德烈·科林(Andre Collin, 1879年- 1926年)的接触,转向了儿童精神病学,后者是精神病学(1924年)的创始人,这是一个短暂的专业,后来被纳入儿童神经精神病学。20世纪20年代,J. Tobolowska和他一起在巴黎Jouy街的药房工作。1924年,她在苏雷内斯市一所公立学校的精神病学中心与他合作。20世纪30年代,她还在巴黎的预防研究所(Institue de preparylaxie)担任神经精神病学顾问,该研究所由阿瑟·凡尔纳(Arthur Vernes, 1879 - 1976)创立,后来更名为凡尔纳研究所。她留下的为数不多的出版物表明,她首先是一名临床医生,正如a . Collin所教导的那样,儿童发展的问题非常重要。考虑到她的医疗记录以及她与A. Collin的合作,J. Tobolowska成为第一位女性儿童和青少年精神病学家。她是一名女权主义者,1937年9月12日在巴永去世,可能是由于手术。在19世纪末,医学职业仍然被认为是男性的工作。在那个世纪,Louis Delasiauve (1804 - 1893), Paul Moreau de Tours (1844 - 1908), Auguste Voisin(1829 - 1898)和Desire -Magloire Bourneville(1840 - 1909)是成年的外星人;尽管如此,他们还是对儿童精神障碍感兴趣,甚至在儿童精神病学诞生之前(1937年)。Justine Tobolowska(1875 - 1937)于1875年2月10日出生在俄罗斯波兰时期的华沙。1893年,她独自来到法国,来到巴黎学医。她的父亲是一名医生,与妻子和另外两个孩子留在华沙。1894年,她通过了巴黎医院的外部检查。1895年至1897年间,她获得了神经学和精神病学的硕士学位,主题包括:吉尔伯特芭蕾舞团(1853 - 1916)、菲利普·查斯林(1857 - 1923)和加斯顿·丹尼(1947 - 1923)。她的儿科硕士学位的主题是朱尔斯·科姆比(1853 - 1947)和加斯顿·瓦里奥(1855 - 1930)。1898年,她成为塞纳河疯人院的临时居民。两年后,她发表了关于梦中的幻觉的论文。从1900年到1906年,她在Salpetriere临终关怀医院工作,去年她申请了英国国籍。1901年和1902年,她与尤金-伯纳德·勒罗伊(Eugene -Bernard Leroy)发表了两篇关于梦的论文,之后她转向了儿童精神病学;他们从幻觉出现的心理条件以及它们与同时出现的想法和梦的过程的关系的角度来研究幻觉。1910年至1915年间,托博洛夫斯卡向《正常与病理心理学杂志》(Journal de Psychologie Normale et Pathologiae)提交了许多书评,在这些书评中,她展示了自己对儿童心理学和教育学的兴趣。她和Andre Collin(1879 - 1926)一起接受了精神病学的训练,这是一个短命的专业,后来被称为儿童神经精神病学。她在Leopold -Robert街7号(巴黎,第14区)开了一家诊所。1924年,她与a·科林(A. Collin)在苏雷内斯镇一所公立学校(朱尔斯·费里学校)建立的儿科心理学中心工作,在那里,她被错误地指控在未经父母同意的情况下对待儿童。20世纪30年代,她还在阿瑟·凡尔纳(Arthur Vernes, 1879 - 1976)创立的巴黎预防研究所(Institut de Prephylaxie de Paris)提供神经精神病学咨询,该研究所后来成为凡尔纳研究所。她是Societe Clinique de Medecine Mentale(1913年)和放射之友协会(1929年)的通讯成员。她留给我们的为数不多的出版物表明,正如a . Collin所教导的那样,她是第一个也是最重要的临床医生,儿童发展问题是最重要的。从她的医学生涯和与A. Collin的合作,托博洛夫斯卡似乎是第一个通过归化(1906年)成为法国人的外国妇女,她是法国最早的儿童和青少年精神病学家之一。 托博洛斯卡是一位崭露头角的女权主义者,她没有后代,于1937年9月在巴约纳去世,死因可能是在朱尔斯·拉福尔卡德(1865-1942)的私人外科诊所做了一次手术。她享年62岁。
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引用次数: 0
期刊
Neuropsychiatrie de l''Enfance et de l''Adolescence
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