Active refusal to accept help as well as neglect of personal care have been core features of PRS in the limited number of cases reported in the last decade. It is characterized by a cluster of life-threatening symptoms including refusal of food intake, decreased or complete lack of mobilization, and lack of communication as well as a retreat from normal life activities. 3 relations.Pervasive refusal syndrome (PRS) has been proposed as a new diagnostic entity among child and adolescent psychiatric disorders. A literature search yielded only 15 relevant articles, all published between 19.Pervasive refusal syndrome (PRS), now referred to as pervasive arousal withdrawal syndrome (PAWS), is a rare but serious child psychiatric disorder that was first described by Bryan Lask and colleagues in 1991. Little has been written about PRS. Pervasive refusal syndrome (PRS) is a rare child psychiatric disorder characterized by pervasive refusal, active/angry resistance to help and social withdrawal leading to an endangered state.PRS and dissociative disorders are compared in greater detail and contrasted within this discussion of differential diagnoses at the poles of such a continuum. The patients’ symptomatology can be allocated on this continuum of active refusal to passive resistance supporting the usefulness of such a continuum in comparing various clinical presentations of PRS. Here, three case vignettes of adolescent patients with PRS are presented. Postulating this continuum allows for the integration of “depressive devitalization” – a refusal syndrome mainly characterized by passive resistance – into the concept of PRS.He was admitted to a specialist Child and Adolescent Mental. Other prominent symptoms included total mutism, school refusal, and self-neglect. We describe a case of PRS in a 9-year-old boy with a diagnosis of Autism Spectrum Disorder (ASD) presenting with severe weight loss due to extreme restriction of food and fluids.
Das “pervasive refusal syndrome” (PRS) wird in der englischsprachigen Literatur als ein eigenständiges Störungsbild bei Kindern und Jugendlichen diskutiert. In 2014 the diagnosis was included in the Swedish version of the International Classification of Diseases and. Pervasive refusal syndrome in the scientific literature, has been used to describe children suffering from symptoms such as an inability to eat, drink, walk, talk or care for themselves. We describe a case of PRS in a 9-year-old boy with a diagnosis of Autism Spectrum Disorder (ASD) presenting with severe weight loss due to extreme restriction of food and fluids.The diagnosis resignation syndrome (in Swedish: uppgivenhetssyndrom), since 1991 called e.g. Dargestellt werden drei Kasuistiken. Trägt man diesem Kontinuum Rechnung, kann das klinische Bild der “depressive devitalization” – ein Verweigerungssyndrom mit vorwiegend passivem Widerstand – in das Konzept der PRS integriert werden. Demnach mag im Hinblick auf den beim PRS vorliegenden Negativismus ein Kontinuum von aktiver Verweigerung bis hin zu passivem Widerstand vorliegen. Allerdings gibt es auch Patienten mit vorwiegend passivem Widerstand. Die Vernachlässigung von Körperhygiene und Selbstfürsorge sowie eine aktive Weigerung, Hilfe und Unterstützung anzunehmen, waren Kernsymptome der begrenzten Anzahl von Patienten mit PRS, die innerhalb der letzten 10 Jahre beschrieben wurden. ![]() ![]() Clinical Child Psychology and Psychiatry, 1, 121–132. First citation in article Crossref Medline, Google ScholarThe pervasive refusal syndrome: Learned helplessness and hopelessness. Archives of Disease in Childhood, 66, 866–869. Mariadb administration toolsClinical Child Psychology and Psychiatry, 2, 145–165. First citation in article Crossref, Google ScholarThe pervasive refusal syndrome: the RAHC experience. Clinical Child Psychology and Psychiatry, 3, 229–249. First citation in article Link, Google ScholarICD-10: International statistical classification of diseases and related health problems (10th rev.). Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 38, 37–49. First citation in article Crossref Medline, Google ScholarPsychopharmakotherapie einer ambulanten und stationären Inanspruchnahmepopulation adoleszenter Patienten mit Borderline-Persönlichkeitsstörung. Clinical Child Psychology and Psychiatry, 11, 457–473.
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