Reichenbacher T, Yates A
J Adolesc Health Care. 1987 Sep;8(5):456-9. doi: 10.1016/0197-0070(87)90238-5.
A case is presented of an adolescent girl whose initial psychotic event was the appearance of pseudocyesis, which was terminated by a delusional miscarriage. The delusion was initiated by amenorrhea, which was probably due to a persistent luteal cyst and was perpetuated by the patient's underlying thought disorder. This case supports the somatopsychic hypothesis that pseudocyesis can be initiated by a coincidental physiologic change in a susceptible individual. Physicians must consider a psychotic delusional state in the etiology of pseudocyesis.
本文报告了一例青春期女孩的病例，其最初的精神病性事件是假孕的出现，并以妄想性流产告终。这种妄想由闭经引发，闭经可能是由于持续存在的黄体囊肿，且因患者潜在的思维障碍而持续存在。该病例支持身心假说，即假孕可由易感个体的偶然生理变化引发。医生在假孕的病因中必须考虑到精神病性妄想状态。
