J Psychosoc Nurs Ment Health Serv. 2020 Sep 1;58(9):19-24. doi: 10.3928/02793695-20200624-08. Epub 2020 Jul 1.
Pseudobulbar affect (PBA) is a disorder that develops in the context of a brain injury or underlying neurological dysfunction. It is characterized as an affective disorder of emotional expression. PBA manifests as frequent uncontrollable outbursts of laughing or crying, incongruent with the individual's internal emotional state. It can be challenging for clinicians to differentiate PBA from mood disorders, contributing to its high rate of misdiagnosis. This lack of recognition leads to ineffective and insufficient treatment, impacting patients' quality of life. The current article provides an overview of PBA, including its history, prevalence, pathophysiology, diagnostic criteria, clinical implications, and treatment. [Journal of Psychosocial Nursing and Mental Health Services, 58(9), 19-24.].
假性延髓情绪障碍(PBA)是一种在脑损伤或潜在神经功能障碍的背景下发生的疾病。它的特点是情绪表达的情感障碍。PBA 表现为频繁的无法控制的大笑或哭泣,与个体的内部情绪状态不一致。临床医生很难将 PBA 与情绪障碍区分开来,这导致了它的高误诊率。这种认识不足导致了治疗效果不佳和不充分,影响了患者的生活质量。本文综述了 PBA 的相关内容,包括其历史、流行程度、病理生理学、诊断标准、临床意义和治疗方法。[《精神科护理与心理健康服务杂志》,58(9),19-24。]