患有躁郁症的黑人患者的误诊情况。
The misdiagnosis of black patients with manic depressive illness.
作者信息
Bell C C, Mehta H
出版信息
J Natl Med Assoc. 1980 Feb;72(2):141-5.
Abstract
It has been shown repeatedly that, contrary to earlier beliefs, blacks may well demonstrate similar prevalence rates for manic depressive illness when compared with whites. Yet the authors believe that black manic depressive patients are frequently misdiagnosed as being chronic undifferentiated schizophrenics and treated with major tranquilizers when lithium is the drug of choice. This contention is supported by three case histories and some institutional dynamics that cause this form of iatrogenic morbidity to continue to prey upon black psychiatric patients.
摘要
反复证明，与早期观点相反，与白人相比，黑人躁郁症的患病率很可能相近。然而，作者认为，黑人躁郁症患者常被误诊为慢性未分化型精神分裂症，并使用大剂量镇静剂治疗，而锂盐才是首选药物。三个病例记录以及一些机构因素导致这种医源性疾病持续困扰黑人精神病患者，支持了这一观点。
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