关于周期性月经性精神病的有趣报告及文献综述更新
An Interesting Presentation About Cyclical Menstrual Psychosis with an Updated Review of Literature.
作者信息
Thippaiah Srinagesh Mannekote, Nagaraja Soumya, Birur Badari, Cohen Arnold W
机构信息
Thippaiah, MD, Assistant Professor in Psychiatry, Zucker Hillside Hospital, New Hyde Park, NY. Nagaraja, MD, Brookdale University Hospital & Medical Center, Brooklyn, NY. Birur, MD, Assistant Professor in Psychiatry, University of Alabama at Birmingham, AL. Cohen, MD, Professor of Obstetrics and Gynecology, Jefferson Medical College, Albert Einstein Medical Center, Philadelphia, PA.
出版信息
Psychopharmacol Bull. 2018 Mar 13;48(3):16-21.
Cyclical menstrual psychosis is an uncommon, generally a self-limiting mental illness that occurs only in females. It is associated with other menstruation-related disorders and stressful psychogenic factors. Nonetheless, many cases remain unrecognized due to poor awareness of its presence. A young female who presented with psychotic and mood symptoms during each cycle of menstruation was admitted to the psychiatric inpatient unit. There was severe disruption in her activities of daily living and socio-occupational functioning. Treatment involved bio-psycho-social approach in collaboration with Ob-Gyn team with symptoms responding well to a combination of valproic acid and risperidone. Severe affective instability with evident psychosis during menstrual cycle should be evaluated for cyclical menstrual psychosis.
周期性月经性精神病是一种罕见的、通常为自限性的仅发生于女性的精神疾病。它与其他月经相关疾病及应激性心理因素有关。然而，由于对其存在的认识不足，许多病例仍未被识别。一名年轻女性在每个月经周期都出现精神病性和情绪症状，被收治到精神科住院部。她的日常生活活动和社会职业功能受到严重干扰。治疗采用生物 - 心理 - 社会方法，与妇产科团队合作，症状对丙戊酸和利培酮的联合治疗反应良好。对于月经周期中出现严重情感不稳定且伴有明显精神病性症状的情况，应评估是否为周期性月经性精神病。
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