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著作: [山田 直輝]/[中土井 芳弘]/Fukuma Ryosuke/[大森 哲郎]/Two children exhibiting social withdrawal, school refusal, and underlying generalized anxiety disorder successfully treated using a selective serotonin reuptake inhibitor./[The Journal of Medical Investigation : JMI]

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EID
377668
EOID
1010740
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LastModified
2021年7月30日(金) 14:21:39
Operator
沼田 周助
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沼田 周助
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種別 必須 学術論文(審査論文)
言語 必須 英語
招待 推奨
審査 推奨
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著者 必須
  1. 山田 直輝([徳島大学.病院.先端医療開発研究プロジェクト]/[徳島大学.病院.診療科.脳·神経·精神科.精神科神経科])
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    学籍番号 推奨
  2. 中土井 芳弘
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    貢献度 任意
    学籍番号 推奨
  3. (英) Fukuma Ryosuke
    役割 任意
    貢献度 任意
    学籍番号 推奨
  4. 大森 哲郎
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    学籍番号 推奨
題名 必須

(英) Two children exhibiting social withdrawal, school refusal, and underlying generalized anxiety disorder successfully treated using a selective serotonin reuptake inhibitor.

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(英) Generalized anxiety disorder (GAD) sometimes exists in the background of social withdrawal and school refusal. Although clinical evidence suggests that selective serotonin reuptake inhibitors (SSRIs) are an effective treatment for GAD, they are not officially approved for GAD in Japan. In addition, it has been established that the use of SSRIs increases the risk for suicide and activation syndrome among young individuals. As such, there is currently little domestic clinical experience in prescribing SSRIs to young patients with GAD. The authors report two cases involving 10-year-old patients with GAD who were treated successfully with escitalopram and experienced subsequent improvement in social withdrawal and school refusal. One patient had autistic spectrum disorder and exhibited self-harm associated with anxiety symptoms, requiring careful use of SSRIs under hospitalization. The other patient was treated at an outpatient clinic without any side effects. In each case, improvement of anxiety symptoms with the use of SSRIs facilitated the introduction of psychoeducation and psychotherapy. It is important to accurately diagnose GAD, which may exist in the background of patients exhibiting social withdrawal and school refusal, and to treat the disorder appropriately. J. Med. Invest. 67 : 355-357, August, 2020.

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誌名 必須 The Journal of Medical Investigation : JMI([徳島大学.医学部])
(pISSN: 1343-1420, eISSN: 1349-6867)
ISSN 任意 1349-6867
ISSN: 1343-1420 (pISSN: 1343-1420, eISSN: 1349-6867)
Title: The journal of medical investigation : JMI
Title(ISO): J Med Invest
Supplier: 徳島大学
Publisher: Tokushima Daigaku Igakubu
 (NLM Catalog  (Webcat Plus  (医中誌Web  (J-STAGE  (Scopus  (CrossRef (Scopus information is found. [need login])
必須 67
必須 3.4
必須 355 357
都市 任意
年月日 必須 2020年 0月 初日
URL 任意
DOI 任意 10.2152/jmi.67.355    (→Scopusで検索)
PMID 任意 33148915    (→Scopusで検索)
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WOS 任意
Scopus 任意
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被引用数 任意
指導教員 推奨
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  1. (英) PublicationType: Journal Article