{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:56:38Z","timestamp":1747194998556,"version":"3.40.5"},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","issue":"6","license":[{"start":{"date-parts":[[2023,12,31]],"date-time":"2023-12-31T00:00:00Z","timestamp":1703980800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,12,31]],"date-time":"2023-12-31T00:00:00Z","timestamp":1703980800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,12,31]],"date-time":"2023-12-31T00:00:00Z","timestamp":1703980800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Pol"],"published-print":{"date-parts":[[2023,12,31]]},"abstract":"<jats:p>W niniejszym artykule zaprezentowali\u015bmy przypadek doros\u0142ego pacjenta, kt\u00f3rego obecnie g\u0142\u00f3wnym problemem s\u0105 epizody fantazjowania i ko\u0142ysania cia\u0142em trwaj\u0105ce do 12h dziennie i ca\u0142kowicie uniemo\u017cliwiaj\u0105ce rozw\u00f3j szkolny. Charakter zaburzenia u pacjenta dotyczy pogr\u0105\u017cania si\u0119 w fantazjach, a nie typowych obsesji jak w OCD. Pacjent leczony by\u0142 dawniej lekami z grupy SSRI, neuroleptykami (bez aripiprazolu) oraz metylofenidatem. Jedynie metylofenidat przyni\u00f3s\u0142 cz\u0119\u015bciow\u0105 popraw\u0119, jednak powodowa\u0142 u pacjenta uczucie \"sztywno\u015bci my\u015blenia\". Pacjent trafi\u0142 do szpitala z powodu pr\u00f3by samob\u00f3jczej, kt\u00f3ra jak si\u0119 p\u00f3\u017aniej okaza\u0142o by\u0142a samouszkodzeniem, bez intencji zabicia si\u0119. W trakcie hospitalizacji przeprowadzono diagnostyk\u0119 r\u00f3\u017cnicow\u0105 i postawiono rozpoznanie zespo\u0142u Aspergera, kt\u00f3remu towarzyszy\u0142o zanurzanie si\u0119 w \u015bwiecie swoich fantazji i zachowania stereotypowe. Pacjentowi podano aripiprazol w dawce 15mg\/d po trzech tygodniach uzyskuj\u0105c znaczn\u0105 popraw\u0119 stanu zdrowia redukuj\u0105c czas epizod\u00f3w z kilku godzin do kilkudziesi\u0119ciu sekund. Lek jest dobrze tolerowany przez pacjenta. W artykule prezentujemy pojedyncze kazuistyczne opisy, w kt\u00f3rych osi\u0105gni\u0119to podobne spektakularne rezultaty w podobnych przypadkach. Opisujemy tak\u017ce mo\u017cliwe wyja\u015bnienie fizjologiczne takiej odpowiedzi na ten lek. Pacjent zosta\u0142 wypisany ze szpitala i kontynuuje nauk\u0119 szkoln\u0105.<\/jats:p>","DOI":"10.12740\/pp\/152316","type":"journal-article","created":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T10:34:37Z","timestamp":1708166077000},"page":"1135-1142","source":"Crossref","is-referenced-by-count":1,"title":["Patient with Asperger's Syndrome, with episodes of fantasizing and rocking of body, treated with aripiprazole - a case report."],"prefix":"10.12740","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0534-6057","authenticated-orcid":false,"given":"Maciej","family":"Dul","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7676-2402","authenticated-orcid":false,"given":"Krzysztof","family":"Walczewski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5036","published-online":{"date-parts":[[2023,12,31]]},"container-title":["Psychiatria Polska"],"original-title":["Pacjent z zespo\u0142em Aspergera, z epizodami fantazjowania i ko\u0142ysania cia\u0142em leczony aripiprazolem \u2013 opis przypadku."],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-152316-104940","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-152316-104940","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T10:34:45Z","timestamp":1708166085000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/Patient-with-Asperger-s-Syndrome-with-episodes-of-fantasizing-and-rocking-of-body,152316,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,31]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023]]}},"alternative-id":["152316"],"URL":"https:\/\/doi.org\/10.12740\/pp\/152316","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"type":"print","value":"0033-2674"},{"type":"electronic","value":"2391-5854"}],"subject":[],"published":{"date-parts":[[2023,12,31]]}}}