紧张症困境扩大了。
The catatonic dilemma expanded.
作者信息
Penland Heath R, Weder Natalie, Tampi Rajesh R
机构信息
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
出版信息
Ann Gen Psychiatry. 2006 Sep 7;5:14. doi: 10.1186/1744-859X-5-14.
Abstract
Catatonia is a common syndrome that was first described in the literature by Karl Kahlbaum in 1874. The literature is still developing and remains unclear on many issues, especially classification, diagnosis, and pathophysiology. Clinicians caring for psychiatric patients with catatonic syndromes continue to face many dilemmas in diagnosis and treatment. We discuss many of the common problems encountered in the care of a catatonic patient, and discuss each problem with a review of the literature. Focus is on practical aspects of classification, epidemiology, differential diagnosis, treatment, medical comorbidity, cognition, emotion, prognosis, and areas for future research in catatonic syndromes.
摘要
紧张症是一种常见综合征，1874年卡尔·卡尔鲍姆首次在文献中对其进行描述。相关文献仍在不断发展，许多问题仍不明确，尤其是分类、诊断和病理生理学方面。照料患有紧张症综合征的精神科患者的临床医生在诊断和治疗中仍面临许多困境。我们讨论了照料紧张症患者时遇到的许多常见问题，并结合文献综述对每个问题进行了探讨。重点关注紧张症综合征在分类、流行病学、鉴别诊断、治疗、合并躯体疾病、认知、情感、预后以及未来研究领域等方面的实际问题。
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本文引用的文献
1
Improving the care of individuals with schizophrenia and substance use disorders: consensus recommendations.改善精神分裂症和物质使用障碍患者的护理：共识性建议。
J Psychiatr Pract. 2005 Sep;11(5):315-39. doi: 10.1097/00131746-200509000-00005.
2
Catatonia causing permanent cognitive impairment: a case study.紧张症导致永久性认知障碍：一项病例研究。
Cogn Behav Neurol. 2005 Sep;18(3):141-3. doi: 10.1097/01.wnn.0000178230.46691.c7.
3
Clozapine monotherapy for catatonic schizophrenia: should clozapine be the treatment of choice, with catatonia rather than psychosis as the main therapeutic index?氯氮平单药治疗紧张型精神分裂症：氯氮平是否应以紧张症而非精神病作为主要治疗指标，从而成为首选治疗药物？
J Psychopharmacol. 2005 Jul;19(4):432-3. doi: 10.1177/0269881105053313.
4
The use of atypical antipsychotics in the treatment of catatonia.非典型抗精神病药物在紧张症治疗中的应用。
Eur Psychiatry. 2005 Aug;20(5-6):422-9. doi: 10.1016/j.eurpsy.2005.03.012.
5
Catatonia: disappeared or under-diagnosed?紧张症：消失了还是诊断不足？
Psychopathology. 2005 Jan-Feb;38(1):3-8. doi: 10.1159/000083964. Epub 2005 Feb 15.
6
Medical morbidity and mortality in schizophrenia: guidelines for psychiatrists.精神分裂症的医学发病率和死亡率：精神科医生指南
J Clin Psychiatry. 2005 Feb;66(2):183-94; quiz 147, 273-4. doi: 10.4088/jcp.v66n0205.
7
Schizophrenia with prominent catatonic features ('catatonic schizophrenia'): I. Demographic and clinical correlates in the chronic phase.具有显著紧张症特征的精神分裂症（“紧张型精神分裂症”）：I. 慢性期的人口统计学和临床相关性
Prog Neuropsychopharmacol Biol Psychiatry. 2005 Jan;29(1):27-38. doi: 10.1016/j.pnpbp.2004.08.007.
8
Movement disorder emergencies.运动障碍急症
Mov Disord. 2005 Mar;20(3):322-34. doi: 10.1002/mds.20325.
9
Cycloid psychosis, catatonia, and periodic catatonia.环性精神病、紧张症和周期性紧张症。
Aust N Z J Psychiatry. 2004 Nov-Dec;38(11-12):975-6. doi: 10.1111/j.1440-1614.2004.01498.x.
10
Orbitofrontal cortical dysfunction in akinetic catatonia: a functional magnetic resonance imaging study during negative emotional stimulation.运动不能性缄默症中的眶额皮质功能障碍：负性情绪刺激期间的功能磁共振成像研究
Schizophr Bull. 2004;30(2):405-27. doi: 10.1093/oxfordjournals.schbul.a007088.
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