軀體疾病所致精神障礙英文

軀體疾病所致精神障礙英文第1頁，課件共18頁，創(chuàng)作于2023年2月OrganicMentalDisordersduetoPhysicalDiseasesChenJin-dongM.D第2頁，課件共18頁，創(chuàng)作于2023年2月DefinitionMentaldisordersarisefrombraindysfunctionwhichisclearlycausedbydiseaseoutsidethebrain.第3頁，課件共18頁，創(chuàng)作于2023年2月Etiologyvarioussystemicdisturbances:InfectionEndocrinedisturbanceNutritionalandmetabolicdisordersetal.第4頁，課件共18頁，創(chuàng)作于2023年2月ClinicalmanifestationAcutebrainsyndrome:delirium.Chronicbrainsyndrome:cognitiveimpairmentpersonalitychangesOthers:

depression,elation,delusion,hallucination,psychomotoragitationandstupor.

第5頁，課件共18頁，創(chuàng)作于2023年2月Commonclinicalfeatures(1)

1.Psychiatricsymptomsusuallyappearinthepeakofthephysicaldiseases.2.Psychiatricsymptomsusuallyfluctuatewithphysicaldisease.

第6頁，課件共18頁，創(chuàng)作于2023年2月3.Thesymptomsarelesssevereindaylightandsevereinnightorvarywithphysicaldisease.

4.Courseandprognosismainlydependonthetreatmentofprimarydiseases.(2)第7頁，課件共18頁，創(chuàng)作于2023年2月

5.Theprognosisisbetterifpsychiatricsymptomlastsforashorterperiod;inseverecase,patientsmayleavebehindpersonalitychangeandintellectualdisturbance.

(3)第8頁，課件共18頁，創(chuàng)作于2023年2月

6.CommonlyassociatedwithphysicalandNSsignsandpositivelaboratoryresults.(4)第9頁，課件共18頁，創(chuàng)作于2023年2月DiagnosesEvidenceofphysicaldiseaseEvidenceindicatesthatphysicaldiseasecausementaldisordersPresenceofatypicalsymptomofmentaldisorders第10頁，課件共18頁，創(chuàng)作于2023年2月DiagnosticCriteria(CCMD-3)A.Symptomcriteria：(1)Presenceofasystemicdiseaseasevidentintheclinicalhistory,physicalexaminationandlabinvestigationresults;第11頁，課件共18頁，創(chuàng)作于2023年2月CCMD-3(2)(2)Onsetandcourseofthementaldisturbancefollowthatoftheunderlyingsystemicdisorderwithoneofthefollowingclinicalfeatures:i.

cognitiveimpairment;ii.

amnesicsyndrome;iii.personalitychange;iv.disorderofconsciousness(e.g.delirium);第12頁，課件共18頁，創(chuàng)作于2023年2月v.psychoticsymptoms(e.g.hallucination,delusion,orcatatonicsyndrome);vi.affectivedisorder;vii.neurosis-likesymptoms;viii.mixedoratypicalpresentation;CCMD-3(3)第13頁，課件共18頁，創(chuàng)作于2023年2月(3)Whenthereisnoevidenceofmentaldisordersduetoothercausessuchaspsychosocialstressorsoruseofpsychoactivesubstances.CCMD-3(4)第14頁，課件共18頁，創(chuàng)作于2023年2月B.Severitycriteria:Theconditionhasresultedinimpairmentinactivitiesofdailylivingandsocialfunctioning.CCMD-3(5)第15頁，課件共18頁，創(chuàng)作于2023年2月C.Coursecriteria:Theonsetandclinicalcoursefollowthatoftheunderlyingphysicalproblem.D.Exclusion:Excludingschizophrenia,mooddisorder.CCMD-3(6)第16頁，課件共18頁，創(chuàng)作于2023年2月therapeuticprinciplesTot