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中风后抑郁与精神病

Poststroke depression and psychosis.

作者信息

Dupont R M, Cullum C M, Jeste D V

机构信息

Department of Psychiatry, University of California, San Diego School of Medicine, La Jolla.

出版信息

Psychiatr Clin North Am. 1988 Mar;11(1):133-49.

PMID:3288977
Abstract

Stroke is capable of producing a varied spectrum of neurobehavioral syndromes that may come to the attention of the mental health professional evaluating psychiatric symptoms in elderly individuals. The neurobehavioral effects may include affective or psychotic symptoms and may occur immediately after the stroke or months to years later. The presence of underlying (or pre-existing) brain disease may have an adverse effect on the resolution of the neuropsychiatric symptoms. Although there are no treatment response studies in the area of psychosis following stroke, the response of poststroke depression to antidepressants makes attempted pharmacologic treatment of symptoms justified.

摘要

中风能够引发一系列多样的神经行为综合征,这可能会引起评估老年个体精神症状的心理健康专业人员的注意。神经行为影响可能包括情感或精神病性症状,可在中风后立即出现,也可能在数月至数年之后出现。潜在(或先前存在)的脑部疾病可能会对神经精神症状的缓解产生不利影响。虽然在中风后精神病领域尚无治疗反应研究,但中风后抑郁症对抗抑郁药的反应使尝试对症状进行药物治疗具有合理性。

相似文献

1
Poststroke depression and psychosis.中风后抑郁与精神病
Psychiatr Clin North Am. 1988 Mar;11(1):133-49.
2
Depression and cerebrovascular disease.
J Clin Psychiatry. 1990 Jul;51 Suppl:26-31; discussion 32-3.
3
Electroconvulsive therapy for poststroke depression.
J Clin Psychiatry. 1986 May;47(5):258-60.
4
Recognition and management of poststroke depression in the elderly.
Clin Geriatr Med. 1991 Aug;7(3):493-506.
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Geriatrics. 1995 Jan;50(1):43-6, 49.
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Is poststroke depression a vascular depression?中风后抑郁是血管性抑郁吗?
J Neurol Sci. 2004 Nov 15;226(1-2):53-8. doi: 10.1016/j.jns.2004.09.012.
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Depression and cerebral stroke.抑郁症与脑卒中
J Clin Psychiatry. 1990 Sep;51 Suppl:9-12.
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Treatment issues in poststroke depression.中风后抑郁症的治疗问题
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Poststroke depression: neurologic, physiologic, diagnostic, and treatment implications.
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[Post-stroke depression].
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