Repetitive behaviors in CHARGE syndrome: Differential diagnosis and treatment options
Repetitive behaviors in CHARGE syndrome: Differential diagnosis and treatment options
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DOI：
10.1002/ajmg.a.30542
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发表时间：
2005-03-15
影响因子：
2
通讯作者：
Denno, LS
中科院分区：
文献类型：
--
作者：
Bernstein, V;Denno, LS
29名患有CHARGE综合征的学生使用强迫行为检查表（CBC）进行评估。大部分学生的重复行为得分较高，平均每个学生重复行为11.5次。大多数学生的重复行为严重干扰了他们的日常生活。34%的学生对重定向的反应是对自己或他人的攻击。这些行为中的许多行为对传统的行为技术没有很好的反应。通过观察，定义，并使用行为的功能分析，重复行为被分配到四个类别之一。每个类别都有不同的治疗选择。一个病例研究的青春期女孩与充电综合征谁有深刻的耳聋，缺损，中度认知延迟。她表现出严重的行为挑战和严重的医疗问题。治疗过程概述超过5年。采用行为管理、医疗管理和精神科管理来调节她的行为、医疗问题和焦虑症。学科之间的密切协调和良好的家庭参与导致了非常积极的结果。这位现年19岁的学生在她的教育计划中取得了进展，并能够体验更多的社区融合。(C)2005 Wiley-Liss，Inc.
Twenty-nine students with CHARGE syndrome were evaluated using the Compulsive Behavior Checklist (CBC). Most of the students obtained a high score for repetitive behaviors, averaging 11.5 repetitive behaviors per student. Most students' repetitive behaviors significantly interfered with their daily routine. Thirty-four percent of the students responded to redirection with aggression toward themselves or others. Many of these behaviors do not respond well to traditional behavioral techniques. Through observation, definitions, and using functional analysis of behavior, repetitive behaviors were assigned to one of four categories. Each category has different treatment options. A case study of an adolescent girl with CHARGE syndrome who has profound deafness, colobomas, and moderate cognitive delay is presented. She displayed severe behavior challenges and significant medical issues. The course of treatment is outlined over 5 years. Behavior management, medical management, and psychiatric management were used in regulating her behavior, medical issues, and anxiety disorder. Close coordination between disciplines and excellent family involvement led to a very positive outcome. The student, now 19 years old, has made progress in her educational program and has been able to experience more community integration. (C) 2005 Wiley-Liss, Inc.