强迫症中的妄想性身份识别障碍。

Delusional misidentification syndromes in obsessive-compulsive disorder.

机构信息

Anxiety and Depression Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro, Rua Visconde de Pirajá, 547, Sala 719, Ipanema, Rio de Janeiro, 22410-003, Brazil.

出版信息

Psychiatr Q. 2013 Jun;84(2):175-81. doi: 10.1007/s11126-012-9237-z.

DOI:10.1007/s11126-012-9237-z

PMID:22922811

Abstract

Delusional misidentification syndromes (DMS) have been rarely reported in patients with conditions other than schizophrenia-related disorders, diffuse brain disease (dementia) and focal neurological illness. In this report, we describe DMS (i.e. Capgras and Fregoli syndromes) in two patients with severe and treatment resistant obsessive-compulsive disorder (OCD), one with paranoid personality disorder (PPD) and the other with a pervasive developmental disorder (PDD) not otherwise specified. While our findings highlight an interesting phenomenon (the occurrence of DMS in OCD), it is presently unclear whether this association is rare or underreported. Misidentification syndromes might be the ultimate result of a combination of obsessive fears and preexisting cognitive bias/deficits, such as mistrustfulness (in PPD) or poor theory of mind (in PDD).

摘要

妄想性身份识别障碍（DMS）在除精神分裂症相关障碍、弥漫性脑疾病（痴呆）和局灶性神经疾病以外的其他疾病患者中很少见。在本报告中，我们描述了两名患有严重且治疗抵抗的强迫症（OCD）的患者的 DMS（即卡普格拉和福雷格利综合征），其中一名患有偏执型人格障碍（PPD），另一名患有未特定的广泛性发育障碍（PDD）。虽然我们的发现强调了一个有趣的现象（DMS 在 OCD 中的发生），但目前尚不清楚这种关联是罕见还是报告不足。身份识别障碍可能是强迫性恐惧和先前存在的认知偏差/缺陷（如不信任，在 PPD 中）或较差的心理理论（在 PDD 中）的综合作用的最终结果。