从全身麻醉中出现的分离性身份:一个案例报告和分析框架
Gregory W Kirschen1, Mary E Shorey1,2, Joan Han3
1Department of Gynecology & Obstetrics, The Johns Hopkins Hospital, Baltimore, MD, 21287.
Psychiatry research case reports
|August 24, 2023
概括
麻醉可能会在敏感个体中加速分裂性身份障碍 (DID) 症状. 本案例报告详细介绍了一名患者在麻醉后出现DID,突出了潜在的触发因素和机制.
科学领域:
- 精神病学是一个精神病学.
- 麻醉学 麻醉学
- 神经科学是一个神经科学.
背景情况:
- 分离性身份障碍 (DID) 是一种复杂的精神疾病,其特点是多种不同的个性.
- 患者往往有童年虐待和并发性疾病的病史.
- 心理社会压力因素可以触发DID,但麻醉的作用以前没有报道.
研究的目的:
- 报告一个由麻醉引起的分离性身份事件.
- 探索在DID.中将麻醉与功能性大脑连接联系起来的潜在机制.
主要方法:
- 一个病人的病例报告,有童年性虐待和自杀企图的病史.
- 在麻醉后出现的分离性身份事件的观察.
- 关于DID触发物和麻醉作用的文献综述.
主要成果:
- 一名患者在麻醉后经历了分离性身份事件.
- 这次发作在90分钟内自发消失.
- 患者已经安全出院.
结论:
- 麻醉可能是易受伤害的个体分离性身份情节的诱发因素.
- 这个案例有助于了解DID的潜在触发因素.
- 提出了一个机械学假设,将麻醉与功能性大脑连接联系起来.
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