Kar Sujita Kumar, Singh Amit
Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India.
Indian J Psychol Med. 2017 Jul-Aug;39(4):506-508. doi: 10.4103/0253-7176.211742.
Dhat syndrome is a culture-bound syndrome of South-East Asia, common in young men. However, similar entity has also been described in female patients who attribute their symptoms to nonpathological or physiological vaginal discharge. The current diagnostic system for psychiatric illnesses does not encompass Dhat syndrome in females, and so these group of patients receive alternative diagnoses such as somatoform disorder or depression. As a result of which the focus of unique Dhat syndrome-centered management gets weakened, affecting the clinical outcome. This case study focuses on the diagnostic dilemmas related to Dhat syndrome in females and pitfalls in the current diagnostic system.
精浊症是一种东南亚地区特有的文化相关综合征,常见于年轻男性。然而,在女性患者中也有类似情况,她们将自己的症状归因于非病理性或生理性的阴道分泌物。目前的精神疾病诊断系统并未涵盖女性精浊症,因此这类患者会被诊断为其他疾病,如躯体形式障碍或抑郁症。这样一来,以独特的精浊症为中心的治疗重点就被削弱了,影响了临床治疗效果。本案例研究聚焦于女性精浊症相关的诊断困境以及当前诊断系统中的缺陷。