什么时候在烧伤科伤心是病态的?烧伤幸存者士气低落、适应障碍和重度抑郁障碍的鉴别诊断

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-02-10 DOI:10.3390/ebj3010010

M. Beal, S. Lerman, Idris E. Leppla

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引用次数: 0

摘要

许多烧伤幸存者都有先前存在的精神疾病，或者在住院期间出现心理或精神症状。患者通常表现为情绪低落和神经植物症状，这些症状可被定义为士气低落、适应障碍或重度抑郁症。我们回顾了烧伤幸存者中这些综合征的文献，并提出了三个病例，突出了烧伤后出现抑郁症状的患者的这些综合征的连续性。我们讨论了鉴别这些综合征的临床挑战，以及心理治疗和精神药理学的考虑和建议。

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When Is Being Sad on the Burn Unit Pathological? Differential Diagnosis of Demoralization, Adjustment Disorder and Major Depressive Disorder in Burn Survivors

Many burn survivors have pre-existing psychiatric conditions or develop psychological or psychiatric symptoms over the course of their hospital stay. Patients often present with low mood and neurovegetative symptoms which can be conceptualized as demoralization, adjustment disorder, or major depressive disorder. We review the literature on these syndromes in burn survivors and present three cases that highlight the continuum of these syndromes for patients who present with symptoms of depression following a burn injury. We discuss the clinical challenges of differentiating these syndromes as well as psychotherapeutic and psychopharmacologic considerations and recommendations.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.