Martin P, Scharfetter C
Psychiatrische Universitätsklinik Zürich.
Fortschr Neurol Psychiatr. 1993 Sep;61(9):293-300. doi: 10.1055/s-2007-999097.
Olfactory hallucinations are rarely mentioned as a symptom of depressive disorder. This paper presents a review of the literature including a conceptual clarification and epidemiological aspects with an emphasis on the significance of olfactory hallucinations for psychopathology, in particular with respect to sensory perception and body self-awareness. The close relation to the olfactory reference syndrome is pointed at. Olfactory hallucinations are considered important for the biological interpretation of affective disorders. In this regard disturbed olfactory perception can be understood as an example of disturbed brain function in the state of depression. Olfactory symptoms are shown to be elements connecting primary affective disorders with other neuropsychiatric diseases as well as with neuroanatomical and neurophysiological models. A primary role is accordingly attributed to the temporal lobe epilepsies in which olfactory hallucinations as well as affective disturbances occur. The need for further investigation in this field is pointed out.
嗅觉幻觉很少被提及为抑郁症的一种症状。本文对相关文献进行综述，包括概念澄清和流行病学方面，重点是嗅觉幻觉对精神病理学的意义，特别是在感觉知觉和身体自我意识方面。文中指出了其与嗅觉参考综合征的密切关系。嗅觉幻觉被认为对情感障碍的生物学解释很重要。在这方面，嗅觉感知障碍可被理解为抑郁状态下脑功能障碍的一个例子。嗅觉症状被证明是连接原发性情感障碍与其他神经精神疾病以及神经解剖学和神经生理学模型的要素。因此，颞叶癫痫被认为起着主要作用，其中会出现嗅觉幻觉以及情感障碍。文中指出了该领域进一步研究的必要性。
