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[伴有精神病性特征的创伤后应激障碍]

[Post-traumatic stress disorder with psychotic features].

作者信息

Moskowits L, Bleich A

机构信息

Dept. of Psychiatry, Tel Aviv-Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University.

出版信息

Harefuah. 1999 Oct;137(7-8):281-3, 351.

PMID:12415970
Abstract

Post-traumatic stress disorder (PTSD) is often accompanied by psychiatric comorbidity, usually depressive and anxiety disorders. Comorbidity with psychosis has seldom been described. We present 6 case-studies of Israeli military veterans with PTSD and psychosis (all men aged 28-43). All developed PTSD shortly after a period of months or even years, sometimes following trauma-related triggering. Psychotic symptoms such as delusions or auditory hallucinations usually had paranoid or depressive features related in content to the traumatic experience. The combined course and interaction between PTSD and psychotic disorder is discussed, as well as the diagnosis of PTSD with psychotic features.

摘要

创伤后应激障碍(PTSD)常伴有精神疾病共病,通常为抑郁和焦虑障碍。与精神病性障碍的共病很少被描述。我们呈现了6例患有PTSD和精神病性障碍的以色列退伍军人的案例研究(均为28 - 43岁男性)。所有人在数月甚至数年之后不久就患上了PTSD,有时是在与创伤相关的触发因素之后。妄想或幻听等精神病性症状通常具有与创伤经历相关的偏执或抑郁特征。文中讨论了PTSD与精神病性障碍的联合病程及相互作用,以及伴有精神病性特征的PTSD的诊断。

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