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1.Department of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine; Key Laboratory of Mental Disorder’s Management of Zhejiang Province, Hangzhou310003, China
2.Brain Research Institute of Zhejiang University, Hangzhou310003, China
3.Zhejiang Engineering Center for Mathematical Mental Health, Hangzhou310003, China
Published: 15 January 2025 ,
Published Online: 18 July 2024 ,
Received: 19 October 2023 ,
Revised: 20 February 2024 ,
赵苗苗,李颖,赵昊阳等.病例报告:重复经颅磁刺激联合影像暴露治疗青少年急性应激障碍[J].浙江大学学报(英文版)(B辑:生物医学和生物技术),2025,26(01):52-57.
MIAOMIAO ZHAO, YING LI, HAOYANG ZHAO, et al. Repetitive transcranial magnetic stimulation combined with imaginal exposure therapy for adolescents with acute stress disorder: case report. [J]. Journal of zhejiang university-science b (biomedicine & biotechnology), 2025, 26(1): 52-57.
赵苗苗,李颖,赵昊阳等.病例报告:重复经颅磁刺激联合影像暴露治疗青少年急性应激障碍[J].浙江大学学报(英文版)(B辑:生物医学和生物技术),2025,26(01):52-57. DOI: 10.1631/jzus.B2300765.
MIAOMIAO ZHAO, YING LI, HAOYANG ZHAO, et al. Repetitive transcranial magnetic stimulation combined with imaginal exposure therapy for adolescents with acute stress disorder: case report. [J]. Journal of zhejiang university-science b (biomedicine & biotechnology), 2025, 26(1): 52-57. DOI: 10.1631/jzus.B2300765.
青少年急性应激障碍(ASD)的症状通常是不典型且偏离常态的,因此未能得到足够重视。及时干预有可能减轻ASD向创伤后应激障碍(PTSD)发展。但对青少年急性应激障碍的诊断和治疗,尚缺乏经验支持和令人信服的证据。本文所述案例围绕两名被诊断为ASD的青少年展开,患者分别经历了反复出现的侵入性痛苦回忆、忍受负面情绪、逃避和睡眠中断。两名青少年在接受重复经颅磁刺激(rTMS)和想象暴露的联合治疗后,精神症状显著改善。此外,在1个月的随访期间,两例患者病情均保持稳定。上述病例表明,rTMS和想象暴露的结合有望成为青少年ASD的治疗策略,值得开展进一步研究。
接受重复经颅磁刺激(rTMS)想象暴露青少年急性应激障碍(ASD)病例报告
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