Mishra Kshirod Kumar, Sawant Neena, Garg Shobit
Department of Psychiatry, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra, India.
Department of Psychiatry, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India.
Indian J Psychiatry. 2022 Mar;64(Suppl 2):S402-S413. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_30_22. Epub 2022 Mar 23.
The neuropsychiatric symptoms and disorders among endocrine disorders are discussed in the context of current global and local epidemiological data. Neuropsychiatric symptoms, clinical differentials in hypothyroidism, hyperthyroidism, and parathyroid disorders, and relevant management protocols are described. HPT axis and its interaction with psychotropic usage are mentioned. Stress diathesis, depression, anxiety disorders, and severe mental illnesses and their respective association with diabetes, the relevant mechanisms, and management protocols are stated. The metabolic syndrome, its definition, and its relationship to psychotropic usage are laid out. Moreso, best clinical practices for scenarios such as hyperprolactinemia and psychiatric illnesses, and steroid-induced psychosis are mentioned.
本文结合当前全球和本地的流行病学数据,探讨了内分泌疾病中的神经精神症状和障碍。文中描述了神经精神症状、甲状腺功能减退、甲状腺功能亢进和甲状旁腺疾病的临床鉴别诊断以及相关管理方案。还提到了下丘脑-垂体-甲状腺轴及其与精神药物使用的相互作用。阐述了应激素质、抑郁症、焦虑症和严重精神疾病及其与糖尿病的各自关联、相关机制和管理方案。介绍了代谢综合征的定义及其与精神药物使用的关系。此外,还提及了高催乳素血症与精神疾病、类固醇诱导的精神病等情况的最佳临床实践。