Gutierrez K
Abteilung für Sozialpsychiatrie und Evaluationsforschung, Universitätsklinik für Psychiatrie, Wien.
Wien Med Wochenschr. 1998;148(7):187-90.
This paper deals with an important differential diagnosis of depression. While mood disorders are more and more subclassified in present days, the clinically very similar psychopathological pictures, produced by "disturbances due to a general medical condition" (DSM-IV) evokes less and less interest. Misdiagnosis may lead to antidepressant therapy, which will not be well tolerated by the patient. Therefore the symptomatology of acute and chronic, diffuse and localized brain disturbances is outlined for easy clinical use.
本文探讨抑郁症的一项重要鉴别诊断。如今,心境障碍的分类越来越细化,而由“一般躯体疾病所致精神障碍”(《精神疾病诊断与统计手册》第四版)产生的临床症状极为相似的精神病理表现却越来越不受关注。误诊可能导致患者无法很好耐受的抗抑郁治疗。因此,本文概述了急慢性、弥漫性和局限性脑功能障碍的症状,以便于临床应用。