Kessing Lars Vedel
Psykiatrisk Center, Rigshospitalet, Afsnit 6233, DK-2100 København Ø.
Ugeskr Laeger. 2008 Nov 10;170(46):3749-50.
Psychosis in affective disorder is prevalent as 15-20% of depressive patients and approximately 50% of manic patients present with psychotic features. Psychosis in conjunction with affective disorder has a poor prognosis. It is particularly so for depression where psychosis is associated with an increased risk of recurrence, development of bipolar disorder and suicide. It is still being debated whether these conditions reflect independent illness entities and their relationship to schizoaffective disorder and schizophrenia is also unresolved.
情感障碍中的精神病很常见,15% - 20%的抑郁症患者以及约50%的躁狂症患者存在精神病性特征。伴有情感障碍的精神病预后较差。对于抑郁症来说尤其如此,其中精神病与复发风险增加、双相情感障碍的发展以及自杀有关。这些情况是否反映独立的疾病实体仍在争论中,它们与分裂情感性障碍和精神分裂症的关系也尚未解决。