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以医学上无法解释的躯体症状掩盖(内感性不适)的精神分裂症:病例系列

Medically unexplained physical symptoms masking (cenesthopathic) schizophrenia: a case series.

作者信息

Röhricht Frank, Gudi Alka, Lewis-Fernández Roberto

机构信息

School of Psychology, University of Hertfordshire, UK.

出版信息

J Psychiatr Pract. 2010 Jul;16(4):258-64. doi: 10.1097/01.pra.0000386913.85182.b6.

DOI:10.1097/01.pra.0000386913.85182.b6
PMID:20644362
Abstract

The authors present a case series involving four patients who were referred to a specialized somatoform disorders clinic because of chronic medically unexplained physical complaints. The patients were eventually diagnosed with cenesthopathic schizophrenia, a term that has been proposed for a type of schizophrenia in which tactile hallucinations and delusional somatosensory beliefs are prominent. Two of the four had definite responses to antipsychotic medication. All of the patients were immigrants to the United Kingdom, and cultural and language barriers were likely factors in delayed diagnoses.

摘要

作者介绍了一个病例系列,涉及四名因慢性医学上无法解释的身体不适而被转诊至一家专门的躯体形式障碍诊所的患者。这些患者最终被诊断为体感失调型精神分裂症,这是一个为一种以触觉幻觉和躯体感觉妄想突出的精神分裂症类型而提出的术语。四名患者中有两名对抗精神病药物有明确反应。所有患者都是英国的移民,文化和语言障碍可能是诊断延迟的因素。

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