Yadav Devender Singh
ABM University Local Health Board, Wales, U.K.
Indian J Psychol Med. 2010 Jan;32(1):54-8. doi: 10.4103/0253-7176.70536.
Cases presenting with recurrent confusion, alteration of psychomotor activity, and brief psychosis with good inter-episode recovery have many differing etiologies. Only rarely does one diagnose such cases as cycloid psychosis. Even among budding psychiatrists, there seems to be a lack of awareness of this unique disorder. This may be because the present international diagnostic classification systems, ICD10 and DSM IV, do not recognize it as a separate entity. A high index of suspicion is required to diagnose cycloid psychosis. Awareness and recognizing such cases would be helpful clinically as cycloid psychosis entails a distinct prognosis and may require a specific treatment.
表现为反复出现意识模糊、精神运动活动改变以及短暂精神病发作且发作间期恢复良好的病例有许多不同的病因。很少有人将此类病例诊断为环性精神病。即使在初出茅庐的精神科医生中，似乎也缺乏对这种独特疾病的认识。这可能是因为目前的国际诊断分类系统，即国际疾病分类第10版（ICD - 10）和精神疾病诊断与统计手册第四版（DSM - IV），并未将其视为一个独立的实体。诊断环性精神病需要高度的怀疑指数。认识并识别此类病例在临床上会有所帮助，因为环性精神病有独特的预后情况，可能需要特定的治疗。
