一例假性妊娠与拟娩综合征变异型并存病例。

A Case of Concomitant Pseudocyesis and Couvade Syndrome Variant.

作者信息

Thippaiah Srinagesh Mannekote, George Vinu, Birur Badari, Pandurangi Ananda

机构信息

Mannekote Thippaiah, MD, Assistant Professor of Psychiatry, Zucker Hillside Hospital, NY. George, MD, Director, Otsuka Pharmaceuticals, Development & Commercialization, Inc., Philadelphia, PA. Birur, MD, Assistant Professor of Psychiatry, University of Alabama, Birmingham, AL. Pandurangi, MD, Virginia Commonwealth University, Department of Psychiatry Professor and Vice Chair, Richmond, VA 23298.

出版信息

Psychopharmacol Bull. 2018 Mar 13;48(3):29-32.

PMID:29713103

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5875365/

Abstract

Per DSM-V, pseudocyesis is included under the category "other specified somatic symptom and related disorder" and is defined as a false belief of being pregnant that is associated with objective signs and reported symptoms of pregnancy. The male counterpart of pseudocyesis is Couvade syndrome, also called "sympathetic pregnancy" where a man experiences symptoms of pregnancy when his female partner is pregnant. There are extensive reports on pseudocyesis and Couvade syndrome in psychiatric literature but none with features of both, in a single case. Here we present a unique case of a fifty-eight-year-old mother who presented with symptoms of concomitant pseudocyesis and Couvade syndrome concurrently when her daughter was pregnant. This case report discusses the epidemiology, course of symptoms and common comorbidities associated with this interesting diagnosis.

摘要

根据《精神疾病诊断与统计手册》第五版（DSM-V），假孕被归入“其他特定的躯体症状及相关障碍”类别，定义为与怀孕的客观体征及所报告症状相关的怀孕错觉。假孕的男性对应情况是拟娩综合征，也称为“交感型妊娠”，即男性在其女性伴侣怀孕时出现怀孕症状。精神病学文献中有大量关于假孕和拟娩综合征的报道，但在单个病例中同时具备两者特征的却没有。在此，我们报告一例独特病例，一名58岁的母亲在其女儿怀孕时同时出现了假孕和拟娩综合征的症状。本病例报告讨论了与这一有趣诊断相关的流行病学、症状过程及常见共病情况。