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妄想性身份识别障碍综合征:运用更新的循证方法理清临床困境

Delusional Misidentification Syndromes: Untangling Clinical Quandary With the Newer Evidence-Based Approaches.

作者信息

Gupta Mayank, Gupta Nihit, Zubiar Faiza, Ramar Dhanvendran

机构信息

Psychiatry, Lake Erie College of Osteopathic Medicine, Erie, USA.

Psychiatry and Behavioral Sciences, Clarion Psychiatric Center, Clarion, USA.

出版信息

Cureus. 2021 Dec 4;13(12):e20165. doi: 10.7759/cureus.20165. eCollection 2021 Dec.

Abstract

The delusional misidentification syndromes (DMS) have been described extensively in the descriptive literature of the last century given its unusual and often-distressing clinical presentations. In the last few decades, there have been advances in scientific research that have identified more precise brain areas involved in these delusional syndromes. Since DMS are reported in both early-onset psychosis and neurodegenerative conditions, the strategies to address and mitigate underlying etiology warrant a thorough assessment and individualized treatment planning. The age of onset, nature of the clinical presentation, the utility of diagnostic tests, and assessment of violence are few among many areas which need attention during clinical management of these rare syndromes.

摘要

妄想性身份识别障碍(DMS)因其不寻常且常常令人痛苦的临床表现,在上个世纪的描述性文献中已有广泛记载。在过去几十年里,科学研究取得了进展,已确定了与这些妄想综合征相关的更精确脑区。由于DMS在早发性精神病和神经退行性疾病中均有报道,应对和减轻潜在病因的策略需要进行全面评估和个体化治疗规划。发病年龄、临床表现的性质、诊断测试的效用以及暴力评估,是这些罕见综合征临床管理中众多需要关注的领域中的一部分。

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