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临床实践中不同妄想性身份识别障碍综合征的共存:病例系列。

Coexistence of different delusional misidentification syndromes in clinical practice: A case series.

机构信息

Servicio de Psiquiatría, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.

Servicio de Psiquiatría, Complejo Asistencial de Soria, Soria, Spain.

出版信息

Rev Colomb Psiquiatr (Engl Ed). 2023 Jul-Sep;52(3):201-205. doi: 10.1016/j.rcpeng.2021.05.007. Epub 2023 Oct 18.

Abstract

OBJECTIVE

The objective of this study is to analyse the coexistence of several delusional misidentification syndromes in a clinical sample.

METHODS

Over one year, a sample of six patients presenting two or more types of delusional misidentification syndromes was selected. All these patients were admitted to the psychiatric inpatient unit of a Spanish hospital.

RESULTS

Despite the different diagnoses, the patients included presented different types of delusional misidentification syndromes, both hyperidentification and hypoidentification. Antipsychotic treatment was not very effective against these delusional misidentification syndromes.

CONCLUSIONS

The coexistence of several delusional misidentification syndromes indicates that the aetiopathogenesis of the different types is similar. It is a field with important clinical implications, due to the poor response to treatment, as well as the possible medico-legal implications.

摘要

目的

本研究旨在分析临床样本中多种妄想性身份识别障碍综合征的共存现象。

方法

在一年多的时间里,选择了一组 6 名表现出两种或多种妄想性身份识别障碍综合征的患者。所有这些患者都被收入西班牙一家医院的精神科住院病房。

结果

尽管诊断不同,但所纳入的患者表现出不同类型的妄想性身份识别障碍综合征,包括超认同和低认同。抗精神病药物治疗对这些妄想性身份识别障碍综合征的效果并不理想。

结论

多种妄想性身份识别障碍综合征的共存表明不同类型的病因发病机制相似。这是一个具有重要临床意义的领域,因为治疗反应不佳,以及可能的医疗法律影响。

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