共生性妄想症－－兒童期個案報告

Folie à Deux: a Childhood-Onset Case Report

Fo1ie à deux是很少見的精神病；常見的共生組合是母子與夫婦，診斷是精神分裂病，常造成兒童疏於照顧或受傷害。PubMed上並無台灣兒童發病的共生性妄想症，基於兒童保護的觀點，我們呈現一兒童期發病的共生性妄想症個案。一10歲男孩，因母親出現被害、宗教妄想及怪異妄想後，個案也出現類似妄想，而被帶去住院治療；母親則至他院住院治療，診斷為精神分裂症。兒童住院近2週並無使用任何藥物，其妄想逐漸好轉。兒童期共生性妄想症個案與其主要精神病的父母分開及非藥物介入對其症狀緩解與兒童保護有好處的。

Folie à deux is uncommon in adults. The most common combinations of patients are mother-child and husband-wife duals whose diagnoses are schizophrenia. Children in such a relationship might be either maltreated or neglected. No Taiwanese childhood-onset case report of folie à deux has been reported. We hereby report on one child’s delusion induced by his schizophrenic mother. Case report: A 1 0-year-old boy gradually developed bizarre and persecutory delusions after his mother had suffered from similar delusions. The boy was hospitalized for accident and self-harm risk while his mother was admitted to another hospital for schizophrenia. After separation of the boy and his mother for ten days, the boy recovered during hospitalization without any medication. This case highlights that separating the child with folie à deux from his psychotic parent and non-pharmacological interventions may be beneficial to childhood-onset folie à deux.