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抗精神病药物所致静坐不能的病例研究:对智力障碍者的重要启示

Case study of neuroleptic-induced akathisia: important implications for individuals with mental retardation.

作者信息

Gross E J, Hull H G, Lytton G J, Hill J A, Piersel W C

机构信息

Beatrice State Developmental Center, NE 68310-3319.

出版信息

Am J Ment Retard. 1993 Jul;98(1):156-64.

PMID:8103997
Abstract

Neuroleptic-induced akathisia is a relatively common side effect of neuroleptic medication, characterized by a subjective sense of restlessness and the inability to sit still. It has been associated with aggression, anxiety, sleep disturbance, and suicide among patients who have mental illness. These side effects are fairly well-researched in the psychiatric literature but rarely addressed in the mental retardation literature. The prevalence, types of akathisia, differential diagnosis, and treatment were reviewed and a relevant case report presented. The importance of the diagnosis and treatment of neuroleptic-induced akathisia in individuals with mental retardation was discussed.

摘要

抗精神病药物所致静坐不能是抗精神病药物较为常见的副作用,其特征为一种主观的不安感和无法静息。在患有精神疾病的患者中,它与攻击行为、焦虑、睡眠障碍及自杀有关。这些副作用在精神科文献中已有相当充分的研究,但在智力障碍文献中很少被提及。本文回顾了静坐不能的患病率、类型、鉴别诊断及治疗,并呈现了一份相关病例报告。文中还讨论了智力障碍个体中抗精神病药物所致静坐不能的诊断和治疗的重要性。

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Case study of neuroleptic-induced akathisia: important implications for individuals with mental retardation.抗精神病药物所致静坐不能的病例研究:对智力障碍者的重要启示
Am J Ment Retard. 1993 Jul;98(1):156-64.
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Akathisia in adults with mental retardation: development of the Akathisia Ratings of Movement Scale (ARMS).成年智力障碍者的静坐不能:静坐不能运动评定量表(ARMS)的开发。
Am J Ment Retard. 1997 Jan;101(4):413-23.
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Akathisia in adults with severe and profound intellectual disability: a psychometric study of the MEDS and ARMS.重度和极重度智力残疾成年人的静坐不能:MEDS和ARMS的心理测量学研究
J Intellect Dev Disabil. 2008 Jun;33(2):171-6. doi: 10.1080/13668250802065190.
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[Phenomenology and therapy of neuroleptic-induced akathisia--a review of the literature].
Fortschr Neurol Psychiatr. 1989 Nov;57(11):489-94. doi: 10.1055/s-2007-1001145.
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Actometry and Barnes Akathisia Rating Scale in neuroleptic-induced akathisia.用于抗精神病药物所致静坐不能的活动测量法和巴恩斯静坐不能评定量表
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Treatment of akathisia with lorazepam. An open clinical trial.用劳拉西泮治疗静坐不能。一项开放性临床试验。
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[Akathisia].[静坐不能]
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Akathisia and pseudoakathisia: clinical observations and accelerometric recordings.静坐不能与假性静坐不能:临床观察与加速度计记录
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A case of neuroleptic-induced unilateral akathisia with periodic limb movements in the opposite side during sleep.1例抗精神病药所致单侧静坐不能伴睡眠中对侧周期性肢体运动。
Psychiatry Clin Neurosci. 1999 Apr;53(2):291-3. doi: 10.1046/j.1440-1819.1999.00524.x.

引用本文的文献

1
Pharmacotherapy of disorders in mental retardation.智力障碍疾病的药物治疗
Eur Child Adolesc Psychiatry. 2000;9 Suppl 1:I98-107. doi: 10.1007/s007870070023.