Weiss David B, Dyrud Jarl, House Robert M, Beresford Thomas P
Department of Behavioral Health, Denver Health Medical Center, 777 Bannock Street, Denver, CO 80204, USA.
Curr Treat Options Neurol. 2005 Sep;7(5):413-7. doi: 10.1007/s11940-005-0033-z.
Psychiatric symptoms are common to many autoimmune disorders. Patients often will have mood disorders, anxiety, cognitive deficits, delirium, and psychosis. These symptoms may reflect the direct or indirect effect of the autoimmune disorder on the central nervous system, may be related to medications used to treat the disorder, or may be a direct psychologic impact from suffering with the autoimmune disorder. Accurately recognizing the psychiatric component and generating a differential diagnosis is a complex task for the treating physician. Treatment of the psychiatric component to the disorder often will include addressing steroid induced side effects, psychotropic medications, psychotherapy, patient and family education, and a strong physician-patient relationship.
精神症状在许多自身免疫性疾病中都很常见。患者通常会出现情绪障碍、焦虑、认知缺陷、谵妄和精神病症状。这些症状可能反映了自身免疫性疾病对中枢神经系统的直接或间接影响，可能与用于治疗该疾病的药物有关，也可能是自身免疫性疾病带来的直接心理影响。对于治疗医生来说，准确识别精神症状并进行鉴别诊断是一项复杂的任务。对该疾病精神症状部分的治疗通常包括解决类固醇引起的副作用、使用精神药物、心理治疗、对患者及其家属进行教育，以及建立牢固的医患关系。
