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Pathopsychological assessment of pediatric patients with autoimmune diseases of central nervous system
INTRODUCTION: Autoimmune diseases of central nervous system (CNS) are wide spread in children. In some cases, mental disturbances in such patients are barely noticeable in the beginning, which hinders early detection of risks in the child’s mental development. OBJECTIVES: The study focuses on compar...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470433/ http://dx.doi.org/10.1192/j.eurpsy.2021.1676 |
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author | Fedorova, J. Burlakova, N. Mikadze, J. Azizova, U. |
author_facet | Fedorova, J. Burlakova, N. Mikadze, J. Azizova, U. |
author_sort | Fedorova, J. |
collection | PubMed |
description | INTRODUCTION: Autoimmune diseases of central nervous system (CNS) are wide spread in children. In some cases, mental disturbances in such patients are barely noticeable in the beginning, which hinders early detection of risks in the child’s mental development. OBJECTIVES: The study focuses on comparative analysis of the structure of mental disorders in pediatric patients with autoimmune diseases of CNS. METHODS: Research includes two cases: girls aged 14 and 16, one with acute disseminated encephalomyelitis (ADEM), disease onset at 4 years and 11 months, and another with multiple sclerosis (MS), disease onset at 5 years and 5 months. The following methods were used: analysis of patient’s medical record, interview with neurologists, pathopsychological assessment. RESULTS: Common features in both cases: 1) organic brain disorders; 2) patients do not demonstrate intellectual deterioration, can master regular school curriculum; 3) detected mental disturbances reflect risks for mental and personality development. Specific features: 1) the patient with MS demonstrates polymorphism of mental disorders, while the patient with ADEM — homogeneity of mental disorders; 2) main problems of the patient with MS are related to self-regulation, which makes the general picture similar to pseudo-frontal syndrome; the patient with ADEM has major neurodynamic disturbances, which has similarity to psychoorganic syndrome; 3) predictors of personality disorders detected in case of MS determine the negative prognosis for mental development. CONCLUSIONS: The delineated features evidence for further psychological study of CNS autoimmune diseases and formulation of criteria for clinical psychological assessment. These patients need to be monitored by psychologists to prevent personality disorders. DISCLOSURE: No significant relationships. |
format | Online Article Text |
id | pubmed-9470433 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-94704332022-09-29 Pathopsychological assessment of pediatric patients with autoimmune diseases of central nervous system Fedorova, J. Burlakova, N. Mikadze, J. Azizova, U. Eur Psychiatry Abstract INTRODUCTION: Autoimmune diseases of central nervous system (CNS) are wide spread in children. In some cases, mental disturbances in such patients are barely noticeable in the beginning, which hinders early detection of risks in the child’s mental development. OBJECTIVES: The study focuses on comparative analysis of the structure of mental disorders in pediatric patients with autoimmune diseases of CNS. METHODS: Research includes two cases: girls aged 14 and 16, one with acute disseminated encephalomyelitis (ADEM), disease onset at 4 years and 11 months, and another with multiple sclerosis (MS), disease onset at 5 years and 5 months. The following methods were used: analysis of patient’s medical record, interview with neurologists, pathopsychological assessment. RESULTS: Common features in both cases: 1) organic brain disorders; 2) patients do not demonstrate intellectual deterioration, can master regular school curriculum; 3) detected mental disturbances reflect risks for mental and personality development. Specific features: 1) the patient with MS demonstrates polymorphism of mental disorders, while the patient with ADEM — homogeneity of mental disorders; 2) main problems of the patient with MS are related to self-regulation, which makes the general picture similar to pseudo-frontal syndrome; the patient with ADEM has major neurodynamic disturbances, which has similarity to psychoorganic syndrome; 3) predictors of personality disorders detected in case of MS determine the negative prognosis for mental development. CONCLUSIONS: The delineated features evidence for further psychological study of CNS autoimmune diseases and formulation of criteria for clinical psychological assessment. These patients need to be monitored by psychologists to prevent personality disorders. DISCLOSURE: No significant relationships. Cambridge University Press 2021-08-13 /pmc/articles/PMC9470433/ http://dx.doi.org/10.1192/j.eurpsy.2021.1676 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Fedorova, J. Burlakova, N. Mikadze, J. Azizova, U. Pathopsychological assessment of pediatric patients with autoimmune diseases of central nervous system |
title | Pathopsychological assessment of pediatric patients with autoimmune diseases of central nervous system |
title_full | Pathopsychological assessment of pediatric patients with autoimmune diseases of central nervous system |
title_fullStr | Pathopsychological assessment of pediatric patients with autoimmune diseases of central nervous system |
title_full_unstemmed | Pathopsychological assessment of pediatric patients with autoimmune diseases of central nervous system |
title_short | Pathopsychological assessment of pediatric patients with autoimmune diseases of central nervous system |
title_sort | pathopsychological assessment of pediatric patients with autoimmune diseases of central nervous system |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470433/ http://dx.doi.org/10.1192/j.eurpsy.2021.1676 |
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