感应性精神病及其与早期生活应激的相互作用：一例报告
Folie à Deux and its interaction with early life stress: a case report.
作者信息
Vargas Alves Nunes Alessandra, Odebrecht Vargas Nunes Sandra, Strano Talita, Pascolat Gilberto, Schier Doria Gustavo Manoel, Nasser Ehlke Mauricio
机构信息
Pediatrics Department, Hospital Universitário Evangélico de Curitiba, 2885 Padre Agostinho, apto 1304 torre barigui, ZIP 80710-000, Curitiba, Paraná, Brazil.
Department of Health Science, Universidade Estadual de Londrina, Londrina, PR, Brazil.
出版信息
J Med Case Rep. 2016 Dec 1;10(1):339. doi: 10.1186/s13256-016-1128-8.
BACKGROUND
Folie à deux is a very rare psychiatric syndrome in which a psychotic symptom is transmitted from one individual to another. We present a case of folie à deux occurring during childhood, which is not an usual presentation of this syndrome. In this case, the disorder is correlated with child abuse and neglect, which possibly had a role in the development of the symptoms in our case.
CASE PRESENTATION
We present a case of folie à deux between an "induced" 9-year-old black Brazilian boy and the "inducer", his grandmother. They were found to be sharing similar auditory and visual hallucinations and delusional beliefs. The boy was neglected by his parents and was being cared for by his grandmother, who had a history of mental disorder.
CONCLUSIONS
The close relationship between the boy and his grandmother, the family history of first-degree psychosis, and the child abuse and neglect suffered by the boy may have altered his vulnerability to early-onset psychosis and, in this case, folie à deux.
背景
感应性精神病是一种非常罕见的精神综合征，其中一种精神病症状会从一个人传递给另一个人。我们报告一例儿童期发生的感应性精神病病例，这并非该综合征的常见表现形式。在本病例中，该病症与儿童虐待和忽视相关，这可能在我们病例的症状发展中起到了作用。
病例介绍
我们报告一例发生在一名9岁巴西黑人“受诱导”男孩与“诱导者”（他的祖母）之间的感应性精神病病例。他们被发现存在相似的听觉和视觉幻觉以及妄想信念。该男孩被父母忽视，由有精神病史的祖母照顾。
结论
男孩与祖母之间的亲密关系、一级亲属的精神病家族史以及男孩遭受的儿童虐待和忽视，可能改变了他对早发性精神病的易感性，在本病例中则是对感应性精神病的易感性。
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