精神科急诊服务中卡普格拉妄想症的发生率。

The frequency of Capgras delusions in a psychiatric emergency service.

作者信息

Fishbain D A

出版信息

Psychopathology. 1987;20(1):42-7. doi: 10.1159/000284478.

Abstract

During the 1983 year all patient presentations to the University of Miami Psychiatric Emergency Service (PES) at Jackson Memorial Hospital, a large county hospital, were screened by the author through patient rounds and chart review for the presence of the Capgras delusion (strictly defined). Within 4,200 unduplicated patient presentations, 6 cases were determined to have a Capgras delusion: i.e. 0.14% of all PES unduplicated presentations and 0.17% of all PES psychotic unduplicated presentations. These 6 cases are presented. The majority of these patients presented with the chief complaint of violent behavior towards a significant other and had organic factors as contributors to the psychopathology.

摘要

1983年期间，笔者通过查房和病历审查，对一家大型县级医院——杰克逊纪念医院迈阿密大学精神科急诊服务部（PES）的所有患者进行了筛查，以确定是否存在卡普格拉妄想（严格定义）。在4200例无重复的患者就诊病例中，确定有6例存在卡普格拉妄想，即占PES所有无重复就诊病例的0.14%，占PES所有无精神错乱无重复就诊病例的0.17%。现报告这6例病例。这些患者大多数以对重要他人的暴力行为为主诉就诊，且有器质性因素作为精神病理学的促成因素。