Evidence-Based Psychotherapies and Nutritional Interventions for Children With Bipolar Spectrum Disorders and Their Families
Evidence-Based Psychotherapies and Nutritional Interventions for Children With Bipolar Spectrum Disorders and Their Families
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DOI：
10.4088/jcp.15017su1c.04
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发表时间：
2016-01-01
影响因子：
5.3
通讯作者：
Fristad, Mary A.
中科院分区：
文献类型：
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作者：
Fristad, Mary A.
治疗指南建议对双相情感障碍儿童进行心理治疗和药物治疗。一个成熟的心理治疗类别是家庭技能培养加上心理教育；这方面的 3 个例子是以家庭为中心的治疗、心理教育心理治疗以及以儿童和家庭为中心的认知行为治疗。这些治疗有几个对儿科人群很重要的共同要素，包括以家庭为基础、提供有关症状及其管理的心理教育，以及培训患者和家人的情绪调节、沟通和解决问题的技能。临床医生也可能希望探索营养干预措施；多营养素复合物尚处于试验阶段，omega-3 脂肪酸补充剂可能有效。营养干预措施因其良好的安全性而对该患者群体特别有吸引力。
Treatment guidelines recommend that psychotherapy be used in conjunction with pharmacotherapy in children with bipolar disorder. A well-established category of psychotherapy is family skill-building plus psychoeducation; 3 examples of this are family-focused treatment, psychoeducational psychotherapy, and child-and family-focused cognitive-behavioral therapy. These treatments share several common elements that are important in pediatric populations, including being family-based, providing psychoeducation on symptoms and their management, and training patients and families in emotion regulation, communication, and problem-solving skills. Clinicians may also wish to explore nutritional interventions; multinutrient complexes are experimental, and omega-3 fatty acid supplements are possibly efficacious. Nutritional interventions are particularly attractive in this patient population because of their favorable safety profile.