混合状态患者的临床特征、气质和人格。

Clinical Picture, Temperament, and Personality of Patients with Mixed States.

机构信息

Department of Psychiatry, University of Campania "Luigi Vanvitelli", Largo Madonna delle Grazie, Naples 80138, Italy.

NESMOS Department (Neuroscience, Mental Health, and Sensory Organs), School of Medicine and Psychology, Sant'Andrea Hospital, Sapienza University, UOC Psichiatria, Via di Grottarossa, 1035-1039, Rome 00189, Italy; Centro Lucio Bini, Rome, Italy.

出版信息

Psychiatr Clin North Am. 2020 Mar;43(1):15-26. doi: 10.1016/j.psc.2019.10.002. Epub 2019 Nov 26.

DOI:10.1016/j.psc.2019.10.002

PMID:32008681

Abstract

The construct of mixed states is a robust clinical entity with a high variability of prevalence according to different diagnostic criteria. Despite the changes over the years, current official diagnostic criteria still have poor clinical usefulness. Premorbid characteristics with a potential high clinical importance such as temperament, personality, and emotional reactivity are understudied in patients with mixed states and excluded from the current nosologic systems. The authors provide an overview of current nosography and clinical pictures of mixed states and discuss the role of temperament, personality, and emotional reactivity in mixed states.

摘要

混合状态的构建是一种稳健的临床实体，根据不同的诊断标准，其患病率具有高度可变性。尽管多年来有所变化，但目前的官方诊断标准仍然临床实用性差。在混合状态患者中，具有潜在重要临床意义的病前特征，如气质、人格和情绪反应性，研究不足，并且被排除在当前的分类系统之外。作者提供了混合状态的当前分类学和临床图片概述，并讨论了气质、人格和情绪反应性在混合状态中的作用。