McAllister T W, Price T R
Am J Psychiatry. 1982 May;139(5):626-9. doi: 10.1176/ajp.139.5.626.
Recent work has documented the existence of the syndrome of pseudodementia. The authors present four cases of depressive pseudodementia, two without associated dementing illnesses and two that occurred in the context of dementing illnesses. These cases emphasize the difficult nature of differential diagnosis and the profound cognitive impairment that can occur in depressive illness. They also document the coexistence of pseudodementia with "true" dementia. The authors discuss diagnostic and management issues for clinicians treating patients with pseudodementia and depressive illness.
近期研究已证实假性痴呆综合征的存在。作者呈现了4例抑郁性假性痴呆病例，其中2例无相关痴呆性疾病，另外2例发生在痴呆性疾病背景下。这些病例强调了鉴别诊断的困难本质以及抑郁性疾病中可能出现的严重认知障碍。它们还记录了假性痴呆与“真性”痴呆的共存情况。作者讨论了临床医生在治疗假性痴呆和抑郁性疾病患者时的诊断和管理问题。
