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題名 | Major Depressive Disorder with Delusion of Having AIDS:A Case Report=重憂鬱症合併得到後天免疫缺損症候群妄想:一病例報告 |
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作者 | 楊誠弘; 李鶯喬; | 書刊名 | 中華醫學雜誌 |
卷期 | 60:3 1997.09[民86.09] |
頁次 | 頁173-175 |
分類號 | 415.695 |
關鍵詞 | 後天免疫缺損症候群; 妄想; 重憂鬱症; Acquired immune deficiency syndrome; Delusion; Major depressive disorder; |
語文 | 英文(English) |
中文摘要 | 後天免疫缺損症候群(愛滋病,AIDS )已日漸成為社會大眾關心害怕的疾病。許多害怕自己得到後天免疫缺損症候群的病患,其精神科診斷可能為憂鬱症、體化症、慮病症、適應不良症及不同類型的精神症。本文報告一例重憂鬱症患者合併得到後天免疫缺損症候群妄想,雖經多次實驗室檢驗及臨床醫師的解釋,仍堅信自己得到後天免疫缺損症候群。其精神科診斷為重憂鬱症合併得到後天免疫缺損症候群妄想, 病患經 fluoxetine 40mg 及sulpiride 400mg 治療後,對堅信自己得到後天免疫缺損症候群的妄想大幅消除。治療此類犯有堅信自己得到後天免疫缺損症候群妄想的患者主要在於評估其潛在之精神病理並消除之。 |
英文摘要 | Acquired immune deficiency syndrome (AIDS) has become a topic of increasing public concern. Several conditions have been described in patients who are afraid that they have acquired AIDS, including depression, somatization disorers, hypochondriasis, adjustment disorders and various psychoses. This paper presents a case study of a young man with persistent fear of having AIDS. In spite of negative HIV test results, the patient still insisted that he suffered from AIDS. The psychiatric diagnosis was major depressive disorder with delusion of having AIDS. The patient was treated with fluoxetine 40mg qd and sulpiride 400mg qn. After two weeks on medication, his fear of AIDS subsided and he improved remarkably. The most important intervention in patients with delusion of having AIDS is to identify and treat the underlying psychopathology. The following case is representative of our experience. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。