In recent years,there has been an increase in the number of violent incidents in Chinese general hospitals,posing a serious threat to the safety of medical staff and affecting the medical environment in China[1].Non-p...In recent years,there has been an increase in the number of violent incidents in Chinese general hospitals,posing a serious threat to the safety of medical staff and affecting the medical environment in China[1].Non-psychiatric patients with mental health disorders are more likely to exhibit violent tendencies,while those diagnosed with personality disorders are more likely to have psychological and physical co-morbidities[2].Current commonly used psychological assessment tools,such as Kessler Psychological Distress Scale(K10)[3]and the Hospital Anxiety and Depression Scale(HADS)[4],are not commonly used in non-psychiatric clinical practice.At the same time,most of the available psychological assessment tools are designed for hospital psychiatry.This means that the assessment of personality disorders。展开更多
‘Neurodevelopmental disorders’comprise a group of congenital or acquired longterm conditions that are attributed to disturbance of the brain and or neuromuscular system and create functional limitations,including au...‘Neurodevelopmental disorders’comprise a group of congenital or acquired longterm conditions that are attributed to disturbance of the brain and or neuromuscular system and create functional limitations,including autism spectrum disorder,attention deficit/hyperactivity disorder,tic disorder/Tourette’s syndrome,developmental language disorders and intellectual disability.Cerebral palsy and epilepsy are often associated with these conditions within the broader framework of paediatric neurodisability.Co-occurrence with each other and with other mental health disorders including anxiety and mood disorders and behavioural disturbance is often the norm.Together these are referred to as neurodevelopmental,emotional,behavioural,and intellectual disorders(NDEBIDs)in this paper.Varying prevalence rates for NDEBID have been reported in developed countries,up to 15%,based on varying methodologies and definitions.NDEBIDs are commonly managed by either child health paediatricians or child/adolescent mental health(CAMH)professionals,working within multidisciplinary teams alongside social care,education,allied healthcare practitioners and voluntary sector.Fragmented services are common problems for children and young people with multi-morbidity,and often complicated by subthreshold diagnoses.Despite repeated reviews,limited consensus among clinicians about classification of the various NDEBIDs may hamper service improvement based upon research.The recently developed“Mental,Behavioural and Neurodevelopmental disorder”chapter of the International Classification of Diseases-11 offers a way forward.In this narrative review we search the extant literature and discussed a brief overview of the aetiology and prevalence of NDEBID,enumerate common problems associated with current classification systems and provide recommendations for a more integrated approach to the nosology and clinical care of these related conditions.展开更多
文摘In recent years,there has been an increase in the number of violent incidents in Chinese general hospitals,posing a serious threat to the safety of medical staff and affecting the medical environment in China[1].Non-psychiatric patients with mental health disorders are more likely to exhibit violent tendencies,while those diagnosed with personality disorders are more likely to have psychological and physical co-morbidities[2].Current commonly used psychological assessment tools,such as Kessler Psychological Distress Scale(K10)[3]and the Hospital Anxiety and Depression Scale(HADS)[4],are not commonly used in non-psychiatric clinical practice.At the same time,most of the available psychological assessment tools are designed for hospital psychiatry.This means that the assessment of personality disorders。
文摘‘Neurodevelopmental disorders’comprise a group of congenital or acquired longterm conditions that are attributed to disturbance of the brain and or neuromuscular system and create functional limitations,including autism spectrum disorder,attention deficit/hyperactivity disorder,tic disorder/Tourette’s syndrome,developmental language disorders and intellectual disability.Cerebral palsy and epilepsy are often associated with these conditions within the broader framework of paediatric neurodisability.Co-occurrence with each other and with other mental health disorders including anxiety and mood disorders and behavioural disturbance is often the norm.Together these are referred to as neurodevelopmental,emotional,behavioural,and intellectual disorders(NDEBIDs)in this paper.Varying prevalence rates for NDEBID have been reported in developed countries,up to 15%,based on varying methodologies and definitions.NDEBIDs are commonly managed by either child health paediatricians or child/adolescent mental health(CAMH)professionals,working within multidisciplinary teams alongside social care,education,allied healthcare practitioners and voluntary sector.Fragmented services are common problems for children and young people with multi-morbidity,and often complicated by subthreshold diagnoses.Despite repeated reviews,limited consensus among clinicians about classification of the various NDEBIDs may hamper service improvement based upon research.The recently developed“Mental,Behavioural and Neurodevelopmental disorder”chapter of the International Classification of Diseases-11 offers a way forward.In this narrative review we search the extant literature and discussed a brief overview of the aetiology and prevalence of NDEBID,enumerate common problems associated with current classification systems and provide recommendations for a more integrated approach to the nosology and clinical care of these related conditions.
