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題名 | 青少年拔毛症合併藥物與家族治療--病例報告=Combined Pharmacotherapy and Family Therapy for an Adolescent with Trichotillomania: A Case Report |
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作者 | 曾定強; 馮文瑋; 陳泰瑞; 楊志偉; Tseing, Ting-chiang; Feng, Wen-wei; Chen, Tai-jui; Yang, Chih-wei; |
期刊 | 臺灣家庭醫學雜誌 |
出版日期 | 20051200 |
卷期 | 15:4 民94.12 |
頁次 | 頁232-238 |
分類號 | 415.8754 |
語文 | chi |
關鍵詞 | 拔毛症; 藥物治療; 家族治療; Trichotillomania; Adolescent; Major depresion; Family therapy; |
中文摘要 | 拔毛症為衝動控制疾患之一,其盛行率約有0.6%。拔毛症較易發生於女性,常與其他精神疾病合併發生,且於青春期早期發病者,預後較差。本文報告一位13歲青少女拔毛症患者接受藥物治療及家族治療的過程。個案因近半年有拔除毛髮的行為,導致頭部一半以上面積禿髮,而由母親帶至醫院就診。個案於就診期間除接受皮膚科追蹤評估與精神科藥物治療外,亦與家人一同接受每週一次、每次一小時之家族治療。經過八週之後,拔毛髮之行為、憂鬱症狀、及家族支持均有明顯改善。關於藥物治療及家族治療在拔毛症病患的應用,本文中亦提出探討。 |
英文摘要 | Trichotillomania is an impulse control disorder, and its prevalence rate is about 0.6%. Trichotillomania is more often observed in females, usually along with other psychiatric comorbidity. Patients who have early onset in adolescence often have poorer prognosis. We report a case of a 13-year-old female adolescent with trichotillomania and her treatment process of combined pharmacotherapy and family therapy. She was brought to our hospital by her mother for her hair-pulling behavior observed in the previous half year, which caused loss of hair over half of her scalp. During treatment, she received regular dermatologic evaluations and psychiatric medication treatments. She and her family also participated a 60-minute session of family therapy once a week. After 8 weeks of therapy, her hair-pulling behavior, depressive symptoms, and family support were all much improved. We also discuss in this article the application of medication treatment and family therapy for trichotillomania. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。