Leadbetter R A, Shutty M S, Higgins P B, Pavalonis D
Western State Hospital, Staunton, VA 24401.
Schizophr Bull. 1994;20(2):375-85. doi: 10.1093/schbul/20.2.375.
The syndrome of psychosis, intermittent hyponatremia, and polydipsia (PIP syndrome), seen in the seriously mentally ill, can result in severe biopsychosocial impairment, including an excessive death rate if not identified early. Because of its impact on the health, functioning, and quality of life of the seriously mentally ill patient, all mental health care providers must be aware of the signs and symptoms of PIP syndrome. Physiological, psychological, behavioral, self-care, and social factors all play a role in the manifestation of the syndrome; it follows that a multidisciplinary approach is crucial to ensure early detection, monitoring, and treatment of this problem both in the hospital and in the community. This article explains how we have incorporated the strengths of various disciplinary strategies into a unified treatment model for managing PIP syndrome and its sequelae.
精神病、间歇性低钠血症和烦渴综合征（PIP综合征）见于重症精神病患者，可导致严重的生物心理社会损害，若不及早识别，死亡率会过高。由于其对重症精神病患者的健康、功能和生活质量有影响，所有精神卫生保健提供者都必须了解PIP综合征的体征和症状。生理、心理、行为、自我护理和社会因素在该综合征的表现中均起作用；因此，多学科方法对于确保在医院和社区中早期发现、监测和治疗这一问题至关重要。本文解释了我们如何将各种学科策略的优势融入到一个统一的治疗模型中，以管理PIP综合征及其后遗症。
