[Functional memory disorders. A study of 25 patients].
[Functional memory disorders. A study of 25 patients].
复制标题
[功能性记忆障碍。
DOI：
--
复制
发表时间：
1995
期刊：
影响因子：
--
通讯作者：
K. Schmidtke
中科院分区：
文献类型：
--
作者：
K. Schmidtke
对25名无相关器质性疾病的患者进行了检查，这些患者主诉长期记忆障碍，但无相关器质性疾病，并且表现出正常或降低不超过两个标准差的测试表现。分离反应背景下的失忆症病例未被考虑。归因于记忆障碍的症状被区分为新学习、逆行记忆和注意力缺陷。典型的抱怨是在执行计划的过程中忘记了计划，以及暂时阻塞了已经记住的材料。虽然性别和年龄分布均匀，但与体力劳动者相比，专业人员明显占优势。所有病例均存在相关精神病学结果或精神病学诊断。最常见的诊断是慢性应激障碍和抑郁综合征。伴随心身症状出现在约一半的情况下。在大多数情况下，词汇表学习分数在正常范围内，几乎所有情况下，心理速度分数都在正常范围内。讨论了功能性记忆障碍的症状、诊断、病因和治疗，并探讨了与假性痴呆综合征的关系。
Twenty-five patients without relevant organic disease were examined who complained of long-standing memory disturbance, but were free of relevant organic disease and exhibited a test performance that was normal, or reduced by not more than two standard deviations. Cases of amnesia in the context of dissociative reactions were not considered. Symptoms attributed to memory disturbance were differentiated into deficits of new learning, retrograde memory and attention. Typical complaints were forgetting plans on the way to executing them and temporary blockage of material that had been committed to memory. While sex and age were evenly distributed, there was a clear predominance of professionals compared to manual workers. Relevant psychiatric findings or psychiatric diagnoses were present in all cases. The most frequent diagnoses were chronic stress disorder and depressive syndromes. Accompanying psychosomatic symptoms were present in about half of the cases. Wordlist learning scores were in the normal range in the majority of cases, and psychomotor speed scores were in the normal range in nearly all cases. The discussion addresses symptoms, diagnosis, etiology and therapy of functional memory disturbances and examines the relationship to the syndrome of pseudodementia.