人格解体-现实解体障碍的症状特征和诊断效用：来自印度的回顾性评论,Indian Journal of Psychiatry

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人格解体-现实解体障碍的症状特征和诊断效用：来自印度的回顾性评论
Indian Journal of Psychiatry ( IF 1.7 ) Pub Date : 2020-01-01 , DOI: 10.4103/psychiatry.indianjpsychiatry_347_19
Roshan Sutar ₁ , Santosh K Chaturvedi ₂

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背景：人格解体和现实解体 (DPDR) 综合征是由精神疾病中复杂的交织感觉运动体验引起的。印度关于 DPDR 症状及其临床和研究效用的文献很少。本研究重点关注 DPDR (ICD-10) 诊断的编码频率以及对其临床和研究效用的批判性讨论。方法：回顾性回顾ICD编码F48.1病例档案10年，系统分析年龄、性别、病程、现象学、合并症诊断、药物治疗等细节。结果：14 名患者被诊断为 DPDR。DPDR 综合征的平均持续时间为 6 年（标准差 [SD] = 2.2），而就诊的平均年龄为 24 岁（SD = 2.5）。触觉图像（50%），自我环境整合（42%）和梦境整合（28%）是主要主题。65% 的患者使用选择性血清素再摄取抑制剂作为主要药物。结论：最近很少诊断出孤立的 DPDR 综合征。原因可能包括忽略并存的 DPDR 编码、无法表达 DPDR 症状、文档不足和对症状的误解，或者实际上印度 DPDR 综合征的患病率较低。考虑到关于 DPDR 作为主要诊断的文献很少，未来需要更多的研究来确定 DPDR 的实际患病率和编码。最近很少诊断出孤立的 DPDR 综合征。原因可能包括忽略并存的 DPDR 编码、无法表达 DPDR 症状、文档不足和对症状的误解，或者实际上印度 DPDR 综合征的患病率较低。考虑到关于 DPDR 作为主要诊断的文献很少，未来需要更多的研究来确定 DPDR 的实际患病率和编码。最近很少诊断出孤立的 DPDR 综合征。原因可能包括忽略并存的 DPDR 编码、无法表达 DPDR 症状、文档不足和对症状的误解，或者实际上印度 DPDR 综合征的患病率较低。考虑到关于 DPDR 作为主要诊断的文献很少，未来需要更多的研究来确定 DPDR 的实际患病率和编码。

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Symptom profile and diagnostic utility of depersonalization–derealization disorder: A retrospective critical review from India

Background: Depersonalization and derealization (DPDR) syndrome results from complex interwoven sensory motor experiences seen across psychiatric disorders. There is sparse literature from India on DPDR symptoms, their clinical and research utility. This study focuses frequency of coding the diagnosis of DPDR (ICD-10) and critical discussion about its clinical and research utility. Methods: A retrospective review of case files coded under ICD code F48.1 was carried out for 10 years and details were systematically analyzed for age, gender, duration, phenomenology, comorbid diagnosis, and pharmacological treatment. Results: Fourteen patients received the diagnosis of DPDR. Mean duration of DPDR syndrome was 6 years (standard deviation [SD] = 2.2) while mean age of presentation to hospital was 24 years (SD = 2.5). Tactile imagery (50%), self-environmental integration (42%), and dream-reality integration (28%) were the major themes. Selective serotonin reuptake inhibitors were used as primary medication for 65% of patients. Conclusion: Isolated DPDR syndrome has been diagnosed very rarely in recent past. Reasons may include ignoring the comorbid DPDR coding, inability to articulate DPDR symptoms, inadequate documentation and misinterpretation of symptoms or actually less prevalence of DPDR syndrome in India. Considering scanty literature on DPDR as a primary diagnosis, more studies are required to identify the actual prevalence and coding of DPDR in future.

更新日期：2020-01-01

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