Amish Study, III: the impact of cultural factors on diagnosis of bipolar illness.
Amish Study, III: the impact of cultural factors on diagnosis of bipolar illness.
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阿米什研究，III：文化因素对双相情感障碍诊断的影响。
DOI：
10.1176/ajp.140.1.67
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发表时间：
1983
期刊：
影响因子：
--
通讯作者：
Eshleman3rd,SK
中科院分区：
文献类型：
--
作者：
Egeland,JA;Hostetter,AM;Eshleman3rd,SK
在阿米什的情感障碍研究中，根据研究诊断标准诊断的28名活跃的双相I型患者中，79%以前曾接受过精神分裂症的医院记录诊断。文化和临床因素都阻碍了正确的诊断，尤其是文化影响使浮夸和过度参与活动的躁狂症状的解释变得更加复杂。误诊的其他核心因素是思维形式(想法飞跃)、思维内容(浮夸和宗教妄想)、偏执狂特征，以及未能认识到躁狂综合征的存在。
In the Amish Study of affective disorders, 79% of the 28 active bipolar I patients, diagnosed according to Research DIagnostic Criteria, previously had received hospital record diagnoses of schizophrenia. Both cultural and clinical factors hindered correct diagnosis, and cultural influences particularly complicated the interpretation of the manic symptoms of grandiosity and excessive involvement in activities. Other factors central to misdiagnosis were form of thought (flight of ideas), content of thought (grandiose and religious delusions), paranoid features, and the failure to recognize the presence of a manic syndrome.