将截肢作为治疗身体完整性障碍的一种治愈性疗法的一年随访：一例报告。
One-year follow-up of amputation as a curative treatment for body integrity dysphoria: A case report.
作者信息
Nadeau Nadia
机构信息
CISSS du Bas-Saint-Laurent, Hôpital de Rimouski Université Laval Département de Psychiatrie Rimouski Québec Canada.
出版信息
Clin Case Rep. 2024 Jul 3;12(7):e9156. doi: 10.1002/ccr3.9156. eCollection 2024 Jul.
KEY CLINICAL MESSAGE
Elective amputation as a treatment for Body Integrity Identity Disorder (BIID) or Body Integrity Dysphoria (BID) where noninvasive treatments prove ineffective and the patient's distress is substantial, may permit long-term remission of symptoms at follow-up.
ABSTRACT
We present the one-year follow-up post-surgery of an ambidextrous male who sought elective amputation of his left hand's fourth and fifth fingers after an unsuccessful trial of psychotherapy and pharmacotherapy for Body Integrity Dysphoria. He had no psychiatric comorbidities. At one-year follow-up, his dysphoria was still in remission. He exhibited full adaptation in his social and occupational life, demonstrating increased ease in hand use compared to pre-amputation. He reported sleeping well, happiness, good health and continued acceptance by friends and family. This one-year post-surgery follow-up, at 22 years old, underscores the efficacy of amputation as a curative treatment, high patient satisfaction, and the quality of life gained through the procedure.
关键临床信息
对于身体完整性认同障碍（BIID）或身体完整性焦虑症（BID），在非侵入性治疗无效且患者痛苦严重的情况下，选择性截肢作为一种治疗方法，在随访中可能会使症状长期缓解。
摘要
我们报告了一名双手灵巧的男性患者术后一年的随访情况。该患者在针对身体完整性焦虑症进行心理治疗和药物治疗失败后，寻求选择性截除左手的第四和第五指。他没有精神科合并症。在一年的随访中，他的焦虑症仍处于缓解状态。他在社交和职业生活中完全适应，与截肢前相比，手部使用更加自如。他报告睡眠良好、心情愉快、身体健康，并且继续得到朋友和家人的接纳。这位22岁患者术后一年的随访结果强调了截肢作为一种治愈性治疗方法的有效性、患者的高满意度以及通过该手术获得的生活质量。
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