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患有主要神经系统疾病患者的精神病症状

Psychotic Symptoms in Patients With Major Neurological Diseases.

作者信息

Kim Jong S, Hong Seung-Bong, Park Keun-Woo, Lee Allen T C

机构信息

Department of Neurology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

J Clin Neurol. 2024 Mar;20(2):153-165. doi: 10.3988/jcn.2023.0501.

Abstract

Neurological diseases often manifest with neuropsychiatric symptoms such as depression, emotional incontinence, anger, apathy and fatigue. In addition, affected patients may also experience psychotic symptoms such as hallucinations and delusions. Various factors contribute to the development of psychotic symptoms, and the mechanisms of psychosis are similar, but still differ among various neurological diseases. Although psychotic symptoms are uncommon, and have been less well investigated, they may annoy patients and their families as well as impair the patients' quality of life and increase the caregiver burden. Therefore, we need to appropriately identify and treat these psychotic symptoms in patients with neurological diseases.

摘要

神经系统疾病常表现为神经精神症状,如抑郁、情感失禁、愤怒、冷漠和疲劳。此外,受影响的患者还可能出现幻觉和妄想等精神病性症状。多种因素促成了精神病性症状的发生,而且精神病的机制虽相似,但在不同的神经系统疾病中仍存在差异。尽管精神病性症状并不常见,且研究较少,但它们可能会困扰患者及其家人,损害患者的生活质量,并增加照料者的负担。因此,我们需要对神经系统疾病患者的这些精神病性症状进行恰当的识别和治疗。

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