儿童习惯性咳嗽。特殊症状和心理治疗

A. Horaczyńska-Wojtaś, Grażyna Gwizda, A. Marciniak, Grażyna Mielnik-Niedzielska
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引用次数: 0

摘要

咳嗽是一种重要的防御反射。干咳,非生产性咳嗽持续至少4-6周可能构成诊断和治疗问题。心因性咳嗽被描述为躯体形式的自主神经功能障碍,通过排除身体原因来诊断。目的:探讨习惯性咳嗽的病因及诱发机制,评价不同类型心理治疗对习惯性咳嗽的治疗效果。材料和方法:本研究涉及30名儿童。排除躯体疾病基础后,进行心理评估。实施短期心理治疗和埃里克森疗法。结果:所研究儿童存在兄弟姐妹竞争障碍、童年分离焦虑障碍、学校焦虑、父母冲突、沟通失败、内部情绪冲突、情绪和压力应对能力不足。结论:以习惯性咳嗽等躯体形式自主神经功能障碍为表现的心理问题儿童的家长在治疗过程中起着重要作用,应积极参与心理治疗。
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Habit cough in children. Specific symptoms and psychotherapy
Introduction: Cough is an important defence reflex. Dry, non-productive cough continuing for at least 4–6 weeks may pose a diagnostic and therapeutic issue. Psychogenic cough is described as somatoform autonomic dysfunction and is diagnosed by excluding physical causes. Aim: To determine the aetiology and triggering mechanisms of habit cough and evaluate the treatment effects obtained with different types of psychotherapy. Material and methods: The study involved 30 children. Having excluded somatic disease foundation, psychological assessment was performed. Short-term psychotherapy and Ericksonian therapy were implemented. Results: The studied children suffered from sibling rivalry disorder, separation anxiety disorder of childhood, school anxiety, parental conflicts, communication failure, internal emotional conflicts, and lack of ability to cope with emotions and stress. Conclusions: Parents of psychologically troubled children presenting habit cough and other forms of somatoform autonomic dysfunction play an enormous role in the treatment process and should be active during psychotherapy.
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来源期刊
自引率
50.00%
发文量
18
期刊介绍: Alergologia Polska - Polish Journal of Allergology is aimed mainly at allergologists, but also medical doctors working in related fields, such as otolaryngology, pulmonology, and dermatology. The main goal of the journal is to ensure rapid publication of important research papers and interesting case studies from the following areas: allergology, diagnostics, therapy of allergic diseases, in particular in the area of immunotherapy, rhinitis, asthma. The Editorial Board accepts for publication original papers, case studies and letters to the Editor. We also publish review articles (both commissioned and those agreed upon with the Editor-in-Chief), articles dealing with standards of medical practice, as well as special issues. The journal is published quarterly. We guarantee short review times (up to two weeks) and immediate publication on-line upon Editor acceptance.
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