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Citation |
Bhatia MS, Gautam P. Shanghai Arch. Psychiatry 2016; 28(1): 52-55. |
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Affiliation |
Department of Psychiatry, University College of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, India. |
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Copyright |
(Copyright © 2016, Shanghai Mental Health Center) |
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DOI |
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PMID |
27688646 |
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Abstract |
Earthquakes are relatively common natural disasters in many parts of the world, but research about the mental health effects of earthquakes remains limited. Individuals experiencing an earthquake often suffer significant loss and are at increased risk for developing mental disorders. However, the prevalence of mental disorders following less dramatic or non-destructive earthquake phenomena is unknown. We report the case of a 10-year-old girl who came to a psychiatric outpatient department with a 2-week history of severe, disabling anxiety symptoms precipitated by non-destructive tremors from a distant earthquake that received extensive coverage in the local press. Her condition did not meet criteria for any of the specific anxiety-related disorders, so the non-specific DSM-5 category 'Other Specified Anxiety Disorder' was considered most appropriate. Her symptoms resolved over 4 weeks when treated with both a benzodiazepine and a selective serotonin reuptake inhibitor. Language: en |
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Vernacular Abstract |
地震是世界上许多地区比较常见的自然灾害，但地震对心理健康影响的研究还很有限。经历地震的人往往遭受重大损失，患精神障碍的风险增加。然而，规模不大、非破坏性地震现象所致精神障碍的患病率还是未知的。本文报告了一名就诊于精神科门诊的10岁女孩，她出现严重影响功能的焦虑症状已2周，其诱因是经历了一场较远地区的地震，而在当地仅有非破坏性震感，媒体却过度报道。她的情况不符合任何特定的焦虑相关障碍，因此最合适的诊断是精神障碍诊断与统计手册第五版 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, DSM-5) 非特异性分类中的“ 其它特定焦虑障碍”。经过一种苯二氮䓬类药物和一种选择性5- 羟色胺再摄取抑制剂的治疗，患者的症状4周后消失。. |