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1例难治性少年期抑郁发作患者的诊疗探讨

  • 井绪秀 ,
  • 马莎 ,
  • 刘晓华 ,
  • 郭茜 ,
  • 范娟 ,
  • 徐勇 ,
  • 何燕玲 ,
  • 李华芳 ,
  • 李冠军
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  • 上海交通大学医学院附属精神卫生中心,上海 200030
井绪秀,2013年毕业于济宁医学院临床医学专业。2016年获上海交通大学精神病与精神卫生学硕士学位。同年起进入上海市精神卫生中心住院医师规范化培训。目前就职于长宁区精神卫生中心。研究方向为精神病遗传学与儿童精神病学。马莎,2015年9月毕业于同济大学医学院临床医学八年制,取得临床博士学位。专业:精神病与精神卫生。研究方向:精神分裂症、心境障碍等精神科常见疾病及心身疾病的诊断与治疗,心理治疗、心理咨询等。
#作者对本文有同等贡献。
* 李冠军,liguanjun66@126.com

网络出版日期: 2024-10-18

A Case Report of Diagnosis and Treatment for an Adolescent Patient with Refractory Depressive Disorder

  • JING Xuxiu ,
  • MA Sha ,
  • LIU Xiaohua ,
  • GUO Qian ,
  • FAN Juan ,
  • XU Yong ,
  • HE Yanling ,
  • LI Huafang ,
  • LI Guanjun
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  • Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
#Equal contribution.
* LI Guanjun, liguanjun66@126.com

Online published: 2024-10-18

摘要

少年期抑郁障碍起病受生物学因素和社会心理因素共同影响。在诊断上需要结合考虑病前的人格特点、家庭关系及遗传等多方面因素;治疗上需要联合心理、药物等综合干预。原生家庭对少年患者的成长发育、人格发展及身心健康等起着重要作用。通过观察家庭结构的特殊性,改善家庭的功能,可以消除阻碍疾病康复的不良因素。文章通过介绍一例少年期难治性抑郁发作患者的诊断及治疗经过,探索药物治疗结合物理治疗及家庭心理治疗对患者的治疗效果。

本文引用格式

井绪秀 , 马莎 , 刘晓华 , 郭茜 , 范娟 , 徐勇 , 何燕玲 , 李华芳 , 李冠军 . 1例难治性少年期抑郁发作患者的诊疗探讨[J]. 心理学通讯, 2020 , 3(2) : 128 -133 . DOI: 10.12100/j.issn.2096-5494.219038

Abstract

The onset of adolescent depressive disorder is affected by both biological and psychosocial factors. Personality characteristics, family relationship, and hereditary factors should be taken into account in diagnosis. In treatment, psychological and drug interventions are needed to be used in combination as a comprehensive intervention. Family of origin plays an important role in the growth and development, personality development, and physical and mental health of adolescent patients. By observing the particularity of family structure and improving family function, we can eliminate the adverse factors that hinder the rehabilitation of patients. This article introduces the diagnosis and treatment of a case of the hospitalized patient with refractory depressive disorder so as to explore the therapeutic effect of the comprehensive treatment including pharmaceutical, physical and family psychotherapy for the patient.

参考文献

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