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[寄生虫妄想症患者的精神病理学]

[Psychopathology of patients with delusions of ectoparasitic infestation].

作者信息

Musalek M, Grünberger J, Lesch O M, Linzmayer L, Walter H, Gebhart W

机构信息

Psychiatrische Universitätsklinik, Wien.

出版信息

Nervenarzt. 1988 Oct;59(10):603-9.

PMID:3237267
Abstract

This paper presents a literature review as well as a study in 13 patients suffering from delusion of infestation. Symptoms found in MMPI are related to clinical experience. Our results suggest the distinction of three different groups of these patients: 1. Patients with predominantly hypochondric traits, with a distinct conviction to suffer from a severe, physical illness that is often looked at as incurable (hypochondriacal delusion of parasitosis). 2. Patients with paranoid symptoms and without hypochondric apprehensions. These patients usually hopelessly fight against their parasites, that impair their sphere of existence. Physical illness is denied. ("delusion of infestation"). 3. Patients with signs of both, hypochondrical as well as paranoid delusions ("hypochondriacal delusion of infestation").

摘要

本文呈现了一篇文献综述以及一项针对13名患有寄生虫妄想症患者的研究。明尼苏达多项人格测验(MMPI)中发现的症状与临床经验相关。我们的研究结果表明,可将这些患者分为三组:1. 以疑病特质为主的患者,坚信自己患有严重的躯体疾病,且往往认为无法治愈(寄生虫病的疑病妄想)。2. 有偏执症状但无疑病担忧的患者。这些患者通常绝望地与侵害其生存领域的寄生虫作斗争,否认存在躯体疾病(“寄生虫妄想症”)。3. 同时具有疑病和偏执妄想症状的患者(“疑病性寄生虫妄想症”)。

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