Soyka M
Psychiatrische Klinik, Universität München, München, Deutschland,
Nervenarzt. 2014 Sep;85(9):1093-8. doi: 10.1007/s00115-013-3950-1.
Alcohol-induced psychotic disorders are relatively rare schizophrenia-like disorders characterized by key symptoms, such as auditory hallucinations, anxiety and delusions while disorders of consciousness and orientation are lacking. The diagnostic entity of this disorder has been questioned. Recent findings indicate a high risk for rehospitalization and relapse but compared to other drug-induced disorders a low risk of schizophrenia-like course of the illness (5 % compared to 40-50 % with other drugs). Pathophysiological, diagnostic and therapeutic aspects of alcohol-induced psychotic disorders are discussed.
酒精所致精神障碍是相对罕见的精神分裂症样障碍,其特征为存在诸如幻听、焦虑和妄想等关键症状,而不存在意识和定向障碍。这种障碍的诊断实体一直受到质疑。最近的研究结果表明再住院和复发风险很高,但与其他药物所致障碍相比,发展为精神分裂症样病程的风险较低(5%,而其他药物为40 - 50%)。本文讨论了酒精所致精神障碍的病理生理学、诊断和治疗方面。