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伪装成躁郁症的周年反应。

Anniversary reactions masquerading as manic-depressive illness.

作者信息

Cavenar J O, Nash J L, Maltbie A A

出版信息

Am J Psychiatry. 1977 Nov;134(11):1273-6. doi: 10.1176/ajp.134.11.1273.

DOI:10.1176/ajp.134.11.1273
PMID:910983
Abstract

The authors suggest that many patients diagnosed as having manic-depressive illness, depressed type, may in fact be experiencing anniversary reactions--time-specific psychological and physiological reactions to a past trauma. They report three cases of cyclic depressive disorder, two of which were first diagnosed as manic-depressive illness, depressed type. Careful, complete interviewing and attention to temporal sequence led to the correct diagnosis of anniversary reaction.

摘要

作者们认为,许多被诊断为躁郁症抑郁型的患者,实际上可能正在经历周年反应——对过去创伤的特定时间的心理和生理反应。他们报告了三例周期性抑郁症病例,其中两例最初被诊断为躁郁症抑郁型。通过仔细、完整的访谈以及对时间顺序的关注,得出了周年反应的正确诊断。

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