Agenagnew Liyew, Tesfaye Elias, Alemayehu Selamawit, Masane Mathewos, Bete Tilahun, Tadessa Jinenus
Department of Psychiatry, Faculty of Medical Sciences, Institute of Health, Jimma University, Jimma, Ethiopia P.O. Box 378.
Case Rep Psychiatry. 2020 Oct 13;2020:3281487. doi: 10.1155/2020/3281487. eCollection 2020.
The case after exposure to intense traumatic events manifests signs and symptoms of dissociative amnesia with a dissociative fugue and schizophrenia. The psychotic symptoms we found, in this case, were very complicated and mimicking primary psychotic disorders. Therefore, this might be a good forum for the scientific world to learn from this case report, how psychotic disorders coexist with dissociative disorders, since the literatures in this area are too rare. . This case report focuses on the case of dissociative amnesia with dissociative fugue and psychosis in a 25-year-old Ethiopian female who lost her husband and three children at the same time during the nearby ethnic conflict. Associated with amnesia, she lost entire autobiographical information, and she also had psychotic symptoms like delusions and auditory hallucination which is related to the traumatic event she faced. , , . The diagnosis of dissociative amnesia with a dissociative fugue comorbid with schizophrenia was made, and both pharmacological and psychological interventions were given to the patient. After the intervention, the patient had a slight improvement regarding psychotic symptoms but her memory problem was not restored.
The observation in this case report brings to the fore that individuals with dissociative amnesia with dissociative fugue can have psychotic symptoms, and it takes a longer time to recover from memory disturbances.
遭受强烈创伤性事件后的病例表现出分离性遗忘症伴分离性神游症和精神分裂症的体征和症状。在本病例中,我们发现的精神病性症状非常复杂,类似于原发性精神病性障碍。因此,鉴于该领域的文献极为稀少,这可能是科学界从本病例报告中了解精神病性障碍与分离性障碍如何共存的一个良好平台。 本病例报告聚焦于一名25岁埃塞俄比亚女性的分离性遗忘症伴分离性神游症和精神病的病例,她在附近的种族冲突中同时失去了丈夫和三个孩子。与遗忘症相关的是,她丧失了全部自传性信息,并且还出现了与她所面临的创伤性事件相关的妄想和幻听等精神病性症状。 做出了分离性遗忘症伴分离性神游症合并精神分裂症的诊断,并对患者进行了药物和心理干预。干预后,患者的精神病性症状有轻微改善,但她的记忆问题并未恢复。
本病例报告中的观察结果凸显出,患有分离性遗忘症伴分离性神游症的个体可能会出现精神病性症状,并且从记忆障碍中恢复需要更长时间。