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神经衰弱:现代疾病还是历史遗留?

Neurasthenia: Modern Malady or Historical Relic?

作者信息

Overholser James C, Beale Eleanor E

机构信息

Department of Psychological Sciences, Case Western Reserve University, Cleveland, Ohio.

出版信息

J Nerv Ment Dis. 2019 Sep;207(9):731-739. doi: 10.1097/NMD.0000000000000943.

Abstract

Neurasthenia was a popular diagnosis from 1869 through 1930. Despite being discarded, the core symptoms of neurasthenia can still be found throughout modern society. The present article reviews the symptoms, common course, proposed causes, and common treatments for neurasthenia. Similarities are seen in several familiar diagnoses, including depression, chronic fatigue syndrome, and fibromyalgia. Through reviewing the trends of neurasthenia, modern doctors may learn more about the subtleties of the diagnostic process, as well as the patient-physician relationship. The goal is to learn from the past as it relates to current problems that may be related to the stress of modern living. The history of neurasthenia is presented as it relates to problems that may remain today.

摘要

从1869年到1930年,神经衰弱一直是一种常见的诊断。尽管已被摒弃,但在现代社会中仍能发现神经衰弱的核心症状。本文回顾了神经衰弱的症状、常见病程、可能的病因及常见治疗方法。在几种常见的诊断中可以看到相似之处,包括抑郁症、慢性疲劳综合征和纤维肌痛。通过回顾神经衰弱的发展趋势,现代医生可能会更多地了解诊断过程的微妙之处,以及医患关系。目的是从过去吸取经验,以应对可能与现代生活压力相关的当前问题。本文呈现了与可能至今仍存在的问题相关的神经衰弱病史。

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