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妊娠妄想症:病例系列

Delusion of pregnancy: Case series.

作者信息

Sharma Markanday, Singh Rishabh, Sahu Samiksha, Pruthi Sukriti

机构信息

Department of Psychiatry, Military Hospital, Jhansi, Uttar Pradesh, India.

Department of Psychiatry, Command Hospital (Eastern Command), Kolkata, West Bengal, India.

出版信息

Indian J Psychiatry. 2024 Jun;66(6):576-580. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_699_23. Epub 2024 Jun 19.

DOI:10.4103/indianjpsychiatry.indianjpsychiatry_699_23
PMID:39100380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11293775/
Abstract

Delusion of pregnancy is a relatively uncommon manifestation in psychotic patients. Differentiating it from closely related clinical entities like pseudocyesis/pseudopregnancy can be a challenge in clinical setting. Diagnosis of a psychotic illness with delusional pregnancy as the presenting feature in the absence of other florid symptoms of psychosis is a different challenge altogether. Currently, there is no consensus on the pharmacotherapy and psychotherapy of delusional pregnancy. We present a case series on delusional pregnancy with the intent to answer some of these gaps in the literature.

摘要

妊娠妄想是精神病患者中相对不常见的一种表现。在临床环境中,将其与诸如假孕等密切相关的临床情况区分开来可能具有挑战性。在没有其他明显精神病症状的情况下,以妊娠妄想为主要特征诊断精神病性疾病则完全是另一项挑战。目前,关于妊娠妄想的药物治疗和心理治疗尚无共识。我们呈现一组妊娠妄想病例系列,旨在填补文献中的一些空白。

相似文献

1
Delusion of pregnancy: Case series.妊娠妄想症:病例系列
Indian J Psychiatry. 2024 Jun;66(6):576-580. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_699_23. Epub 2024 Jun 19.
2
Pseudocyesis, delusional pregnancy, and psychosis: The birth of a delusion.假孕、妄想性妊娠与精神病:一种妄想的诞生。
World J Clin Cases. 2014 Aug 16;2(8):338-44. doi: 10.12998/wjcc.v2.i8.328.
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Delusion of pregnancy: Conception in brain.妊娠妄想:大脑中的受孕观念。
Ind Psychiatry J. 2022 Jul-Dec;31(2):341-345. doi: 10.4103/ipj.ipj_166_21. Epub 2022 Aug 2.
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A Case of Concomitant Pseudocyesis and Couvade Syndrome Variant.一例假性妊娠与拟娩综合征变异型并存病例。
Psychopharmacol Bull. 2018 Mar 13;48(3):29-32.
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Pseudocyesis as the presenting symptom in an adolescent patient with an incipient thought disorder.假孕作为一名患有初期思维障碍的青少年患者的首发症状。
J Adolesc Health Care. 1987 Sep;8(5):456-9. doi: 10.1016/0197-0070(87)90238-5.
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Pseudocyesis Versus Delusion of Pregnancy: Differential Diagnoses to be Kept in Mind.假孕与妊娠妄想:需牢记的鉴别诊断
Indian J Psychol Med. 2012 Jan;34(1):82-4. doi: 10.4103/0253-7176.96167.
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Delusion of Triplet Pregnancy in Abdominal Cavity: A Case Report with a Review of Literature.腹腔三胎妊娠妄想:一例病例报告并文献复习
Indian J Psychol Med. 2017 Jul-Aug;39(4):509-511. doi: 10.4103/0253-7176.211749.
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Three thousand days of pregnancy. A case of monosymptomatic delusional pseudocyesis responding to pimozide.三千天孕期。一例对匹莫齐特有反应的单症状性妄想性假孕病例。
Br J Psychiatry. 1990 Dec;157:924-8. doi: 10.1192/bjp.157.6.924.
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Pseudocyesis Leading to Folie-à-Deux.假孕导致感应性精神病。
J Neurosci Rural Pract. 2021 Apr;12(2):419-423. doi: 10.1055/s-0041-1726615. Epub 2021 Mar 24.
10
Delusion of Pregnancy: A Case Report and Literature Review.妊娠妄想症:一例报告及文献综述
Clin Med Insights Case Rep. 2023 Apr 2;16:11795476231161169. doi: 10.1177/11795476231161169. eCollection 2023.

本文引用的文献

1
Delusion of Pregnancy: A Case Report and Literature Review.妊娠妄想症:一例报告及文献综述
Clin Med Insights Case Rep. 2023 Apr 2;16:11795476231161169. doi: 10.1177/11795476231161169. eCollection 2023.
2
Delusion of pregnancy for 21 years in an elderly woman: A case report and review of literature.一名老年女性长达21年的妊娠妄想症:病例报告及文献综述
Ind Psychiatry J. 2020 Jul-Dec;29(2):342-344. doi: 10.4103/ipj.ipj_62_19. Epub 2021 Mar 15.
3
A Prepubertal Girl with Delusions of Pregnancy.一名患有妊娠妄想症的青春期前女孩。
J Child Adolesc Psychopharmacol. 2021 Jun;31(5):390-392. doi: 10.1089/cap.2021.29205.bjc.
4
Denial of Pregnancy in a Patient With a History of Pseudocyesis.有假孕病史患者否认怀孕。
Cureus. 2021 Apr 30;13(4):e14773. doi: 10.7759/cureus.14773.
5
Hyperprolactinemia associated with psychiatric disorders.与精神障碍相关的高催乳素血症。
Medicina (B Aires). 2020;80(6):670-680.
6
Medical considerations in delusion of pregnancy: a systematic review.妄想妊娠的医学考虑因素:系统评价。
J Psychosom Obstet Gynaecol. 2022 Mar;43(1):51-57. doi: 10.1080/0167482X.2020.1779696. Epub 2020 Jun 29.
7
Pitfalls in the Diagnostic Evaluation of Hyperprolactinemia.高泌乳素血症诊断评估中的陷阱。
Neuroendocrinology. 2019;109(1):7-19. doi: 10.1159/000499694. Epub 2019 Mar 20.
8
A 39-year-old man with schizophrenia and tuberous sclerosis with a delusion of being a pregnant woman-A case report.一名患有精神分裂症和结节性硬化症且怀有自己是孕妇妄想的39岁男性——病例报告。
Clin Case Rep. 2018 Nov 25;7(1):152-154. doi: 10.1002/ccr3.1938. eCollection 2019 Jan.
9
Couvade Syndrome Among Jordanian Expectant Fathers.约旦准父亲的妊娠伴随综合征。
Am J Mens Health. 2019 Jan-Feb;13(1):1557988318810243. doi: 10.1177/1557988318810243. Epub 2018 Nov 2.
10
Couvade Syndrome - Custom, Behavior or Disease?拟娩综合征——习俗、行为还是疾病?
Front Neurol Neurosci. 2018;42:51-58. doi: 10.1159/000475686. Epub 2017 Nov 17.