Alucinaciones en un niño no psicótico:estudio de un caso

  1. M.G. Morón Nozaleda 1
  2. S. Ruiz Murugarren 2
  3. L. Marinas Navarro 1
  4. A. Pelaz Antolín 3
  1. 1 Médico Interno Residente de Psiquiatría del Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid
  2. 2 Psiquiatra del Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid
  3. 3 Psiquiatra Infantil del Centro de Salud Mental de Alcalá de Henares, Madrid
Zeitschrift:
Revista de Psiquiatría Infanto-Juvenil

ISSN: 2660-7271 1130-9512

Datum der Publikation: 2011

Ausgabe: 28

Nummer: 1

Seiten: 93-99

Art: Artikel

Andere Publikationen in: Revista de Psiquiatría Infanto-Juvenil

Zusammenfassung

Hallucinations are relatively common in childhood, and occur most frequently in the context of normal development or in children with non-psychotic disorders than in psychotic ones. We report the case of a seven-years-old child attended in the emergency room because of somatic complaints and visual and auditory hallucinations spanning seven days, accompa-nied by significant anxiety. These symptoms are close in time to an intervention for cancer of the boy’s grandmother. Complementary exa-minations ruled out a medical condition that could justify the medical profile. A few days after, the hallucinations and somatic complaints subsided, although there were nightmares and fears which resolved within two months. The diagnosis was acute adjustment disorder with prevalence of anxiety following DSM-IV-TR criteria. Psychotherapeutic support, assistance and protection of the child were considered as the most important factors in the case manage-ment. In the presence of hallucinations in chil-dren is necessary to evaluate the full medical profile in order to give appropriate treatment, as hallucinatory phenomena have been described in children in relation to various diseases.

Bibliographische Referenzen

  • Sosland MD, Edelsohn GA. Hallucinations in children and adolescents. Curr Psychiatry Rep 2005; 7: 180-188.
  • Garralda ME. Hallucinations in children with conduct and emotional disorders: I. The clinical phenomena. Psychol Med 1984; 14: 589-596.
  • Best NT, Mertin P. Correlates of auditory hallucinations in nonpsychotic children. Clin Child Psychol Psychiatry 2007; 12: 611-623.
  • Schreier HA. Hallucinations in non psychotic children: more common than we think? J Am Acad Child Adolesc Psychiatry 1999; 38: 623-625.
  • Kotsopoulos S, Kanigsberg J, Cote A, Fiedorowicz C. Hallucinatory experiences in nonpsychotic children. J Am Acad Child Adolesc Psychiatry 1987; 26: 375-380.
  • McGee R, Williams S, Poulton R. Hallucinations in nonpsychotic children. J Am Acad Child Adolesc Psychiatry 2000; 39: 12-13.
  • Edelsohn GA. Hallucinations in children and adolescents: considerations in the emergency setting. Am J Psychiatry 2006; 163: 781-785.
  • Garralda ME. Hallucinations in children with conduct and emotional disorders: II. The follow-up study. Psychol Med 1984; 14: 597-604.
  • Gilleland J, Suveg C, Jacob ML, Thomassin, K. Understanding the medically unexplained: emotional and familial influences on children’s somatic functioning. Child Care Health Dev 2009; 35: 383-390.
  • Manual Diagnóstico y Estadístico de los Trastornos Mentales. Cuarta edición, Texto Revisado. Asociación Americana de Psiquiatría. Washington, 2000.