成人发育协调障碍:一系列由成人精神病学家诊断不足的疾病

Sofie Verlinden , Pieter De Wijngaert , Jef Van den Eynde
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引用次数: 0

摘要

发展协调障碍(DCD)传统上被认为是一种儿童神经发育疾病,在成人精神科医生中很少为人所知。尽管如此,据估计约有5%的成年人患有此病。在本文中,我们介绍了3例在成年期被诊断为DCD的病例,展示了成人精神病学家面临的一些关键挑战:(i)由于DCD引起的运动困难通常持续到成年期;(ii)尽管如此,患有DCD的成年人很少将运动问题作为主要主诉,而是出现继发性非运动症状,如情绪抑郁、成瘾或焦虑;(三)成人DCD诊断和治疗的证据基础有限。越来越多的成人DCD患者和他们精神上的脆弱性表明,迫切需要更多的证据。最后,对于患者来说,DCD的新诊断通常是一种解脱,因为它解释了他们一生中所经历的与众不同、尴尬和有时被嘲笑的事情。
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Developmental coordination disorder in adults: A case series of a condition that is underdiagnosed by adult psychiatrists

Developmental Coordination Disorder (DCD) has been traditionally thought of as a childhood neurodevelopmental condition and tends to be little known among adult psychiatrists. Nonetheless, it is estimated to occur in about 5% of the general adult population. In the present article, we present 3 cases of DCD diagnosed in adulthood, demonstrating some key challenges that adult psychiatrists face: (i) motor difficulties due to DCD often persists into adulthood; (ii) adults with DCD nonetheless rarely report motor problems as their primary complaint, but rather present with secondary non-motor symptoms such as depressed mood, addiction, or anxiety; and (iii) the evidence base for diagnosis and management of DCD in adult is limited. The growing trend of adults with DCD and their psychiatric vulnerabilities suggest that more evidence is urgently warranted. Finally, for patients, the establishment of a new diagnosis of DCD is often a relief as it explains what they have been experiencing all their lives in being different, awkward and sometimes laughed at.

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Psychiatry research case reports
Psychiatry research case reports Medicine and Dentistry (General)
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