双相情感障碍中的感应性精神病：一例报告
Folie a deux in bipolar affective disorder: a case report.
作者信息
Patel Anish S, Arnone Danilo, Ryan William
机构信息
Mental Health Unit, Horsham Hospital, St. George's Medical School, Horsham, West Sussex, UK.
出版信息
Bipolar Disord. 2004 Apr;6(2):162-5. doi: 10.1111/j.1399-5618.2004.00099.x.
BACKGROUND
The syndrome of folie a deux is uncommon and often described in the context of schizophrenia. We report a case of induced delusional disorder associated with bipolar affective disorder (BAD).
CASE REPORT
We present a case of monozygotic twins in their late 60s with an unusually close relation with one another and relative isolation from other people. Both twins have been diagnosed as suffering from BAD and relapsed into mania with psychotic symptoms. During their hospital stay they exhibited features consistent with folie a deux. Separation caused disappearance of the phenomenon whilst the affective disorder persisted.
CONCLUSION
This case highlights the unusual and rare phenomenon of folie a deux occurring in the context of BAD. It also suggests current difficulty in defining folie a deux as an entity according to current diagnostic criteria.
背景
感应性精神病并不常见，且常与精神分裂症相关。我们报告一例与双相情感障碍（BAD）相关的诱导性妄想障碍病例。
病例报告
我们呈现了一对60多岁的同卵双胞胎病例，他们彼此关系异常亲密，与其他人相对隔离。这对双胞胎均被诊断患有双相情感障碍，并伴有精神病症状复发为躁狂。在住院期间，他们表现出符合感应性精神病的特征。分开后，这种现象消失，而情感障碍依然存在。
结论
该病例突出了在双相情感障碍背景下发生的感应性精神病这一不寻常且罕见的现象。这也表明根据当前诊断标准将感应性精神病定义为一种独立疾病存在困难。
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