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截肢者的精神病学研究。

A psychiatric study of amputees.

作者信息

Shukla G D, Sahu S C, Tripathi R P, Gupta D K

出版信息

Br J Psychiatry. 1982 Jul;141:50-3. doi: 10.1192/bjp.141.1.50.

Abstract

Psychiatric manifestations were studied in 72 amputees in the post-operative period. All were right handed. Besides phantom limb phenomena, which were observed in nearly four-fifths of the cases and are described in another paper, nearly two-thirds had psychiatric symptoms inthe form of depression (45 patients), anxiety (38), crying spells (38), insomnia (34), loss of appetite (23), suicidal ideas (21) and psychotic behaviour (2). Right arm amputees had phantom phenomena and insomnia significantly more often than left. Nearly one-fifth of the cases were diagnosed as having psychotic depressive reactions, two-fifths as having depressive neurosis and two, both with right upper limb amputations, as schizophrenic.

摘要

对72名截肢者术后的精神症状进行了研究。所有患者均为右利手。除了幻肢现象(近五分之四的病例出现该现象,另一篇论文中有描述)外,近三分之二的患者有精神症状,表现为抑郁(45例)、焦虑(38例)、哭泣发作(38例)、失眠(34例)、食欲不振(23例)、自杀观念(21例)和精神病行为(2例)。右臂截肢者出现幻肢现象和失眠的频率明显高于左臂截肢者。近五分之一的病例被诊断为患有精神病性抑郁反应,五分之二被诊断为患有抑郁性神经症,另有2例右上肢截肢患者被诊断为精神分裂症。

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