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首页> 外文期刊>Eating and weight disorders: EWD >Transient psychosis in anorexia nervosa: review and case report.
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Transient psychosis in anorexia nervosa: review and case report.

机译：神经性厌食症的短暂性精神病：复习和病例报告。

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摘要

Psychotic symptoms are a key feature in eating disorders. Restrictive-type anorectics are more prone to suffer them, coherent with recent neurocognitive findings reporting attentional and processing deficits in restrictive anorexia partially common to schizophrenia. Psychotic crises urge psychiatrists to make an accurate differential diagnosis with endogenous psychoses and carefully judge treatment options. If attentively attended, such crises can give us clues to understand the patient s functioning and consider new strategies. We report two transient psychotic episodes in restrictive-type anorectic female patients, one with a previous experience. Onset of psychotic symptoms was related to severe malnutrition only in one of them (body mass index <15). We discuss risk factors, clinical presentation and treatment, focusing on the emotional disturbances maintained after recovery. Causes for psychotic features in these patients are reviewed and treatment individually tailored. An integrative understanding of eating disorders as a unique meeting point between psychosis and neurosis is encouraged.
机译：精神病性症状是饮食失调的关键特征。限制性类型的厌食症患者更容易遭受痛苦，这与最近的神经认知发现相一致，后者报告了精神分裂症部分常见的限制性厌食症的注意力和加工缺陷。精神病危机促使精神科医生对内源性精神病做出准确的鉴别诊断，并仔细判断治疗方案。如果专心地参加，这样的危机可以为我们提供线索，以了解患者的功能并考虑新的策略。我们报告在限制性类型的厌食症女性患者中发生了两次短暂性精神病发作，其中一个经历过。精神病性症状的发作仅与其中一种严重的营养不良有关（体重指数<15）。我们讨论了危险因素，临床表现和治疗，重点是恢复后维持的情绪障碍。对这些患者的精神病特征的原因进行了审查，并对治疗进行了个性化定制。鼓励对饮食失调的综合理解，将其作为精神病和神经症之间的独特交汇点。

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