Rundell J R, Wise M G
Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4799.
J Neuropsychiatry Clin Neurosci. 1989 Fall;1(4):398-400. doi: 10.1176/jnp.1.4.398.
A retrospective review of the records of 755 patients seen by a psychiatric consultation-liaison service in a general hospital was performed. The authors found that 87% of manic patients and 38% of depressed patients had a diagnosis of organic mood disorder. The most frequent precipitants of mania were corticosteroids, human immunodeficiency virus (HIV) infection, and temporolimbic epilepsy. The most frequent precipitants of depression were stroke, Parkinson's disease, and HIV infection.
对一家综合医院精神科会诊联络服务所诊治的755例患者的病历进行了回顾性研究。作者发现,87%的躁狂患者和38%的抑郁患者被诊断为器质性心境障碍。躁狂最常见的诱发因素是皮质类固醇、人类免疫缺陷病毒(HIV)感染和颞叶边缘癫痫。抑郁最常见的诱发因素是中风、帕金森病和HIV感染。