School of Child Neuropsychiatry, University of Modena and Reggio Emilia, Modena, Italy.
Department of Psychiatry and Robinson College, University of Cambridge, Cambridge, United Kingdom.
J Nerv Ment Dis. 2023 Aug 1;211(8):627-633. doi: 10.1097/NMD.0000000000001677.
Reactive psychosis (RP) is a trauma-induced category whose meaning has varied in relation to the role attributed to lived experiences or vulnerable personality. It has long been described in different countries, but seldom investigated under the influence of symptom-based psychiatric classifications. This article aims to examine the development of RP since the early 20th century, outline how it has been incorporated in modern diagnostic classifications, and set out empirical findings. It is likely that variations in terminology and diagnostic practice have affected estimates of the frequency and hampered the validity of RP in earlier studies. To enhance reliability, RP underwent several changes in successive Diagnostic and Statistical Manual of Mental Disorders and ICD versions and was eventually replaced with descriptive categories for short-lived psychotic disorders. Clinical observations during the COVID-19 pandemic attest the durability of RP, but the current categories prove unhelpful in identifying it and have failed to encourage research.
反应性精神病（RP）是一种创伤引起的类别，其意义因赋予生活经历或脆弱人格的作用而有所不同。它在不同的国家已经被描述了很长时间，但很少在基于症状的精神病分类的影响下进行调查。本文旨在探讨自 20 世纪初以来 RP 的发展，概述它如何被纳入现代诊断分类，并列出实证发现。术语和诊断实践的差异可能影响了对频率的估计，并阻碍了早期研究中 RP 的有效性。为了提高可靠性，RP 在随后的《精神障碍诊断与统计手册》和《国际疾病分类》版本中经历了多次变化，最终被用于短暂性精神病障碍的描述性类别所取代。在 COVID-19 大流行期间的临床观察证明了 RP 的持久性，但目前的分类在识别它方面没有帮助，也未能鼓励研究。
