Reifler B V
J Am Geriatr Soc. 1982 Oct;30(10):665-8. doi: 10.1111/j.1532-5415.1982.tb05067.x.
The term pseudodementia should be avoided in clinical practice. Its importance lies in the fact that it has alerted clinicians to the existence of potentially reversible, or at least treatable, cases of intellectual dysfunction. However, two major problems are associated with its use. First, it implies that the patient has either an organic or a functional illness, whereas many patients have elements of both, especially when depression is superimposed on a true dementia. Second, the term is often mistakenly used diagnostically, whereas it is only descriptive. The term cognitive impairment is preferable to pseudodementia.
在临床实践中应避免使用“假性痴呆”这一术语。其重要性在于它已使临床医生警觉到存在潜在可逆或至少可治疗的智力功能障碍病例。然而，使用该术语存在两个主要问题。首先，它意味着患者患有器质性疾病或功能性疾病，而许多患者两者都有，尤其是当抑郁症叠加在真正的痴呆症之上时。其次，该术语经常被错误地用于诊断，而它仅仅是描述性的。“认知障碍”这一术语比“假性痴呆”更可取。
