闪回,幻觉持续感知障碍 (HPPD) 和使用经典迷幻药物后的重新激活:分类和治疗管理
Marija Franka Žuljević1, Tomislav Majić2,3
1Department of Medical Humanities, University of Split School of Medicine, Split, Croatia.
Current topics in behavioral neurosciences
|December 5, 2025
概括
经典的迷幻药物使用可能会导致感知障碍,如闪回和幻觉持续感知障碍 (HPPD). 区分这些疾病对于准确诊断和了解它们的流行率至关重要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 经典的迷幻药物使用与特定的感知障碍有关.
- 幻觉持续感知障碍 (HPPD),闪回和重新激活是关键的并发症.
- HPPD的特点是持续的感知障碍,与短暂的闪回或重新激活不同.
研究的目的:
- 提供HPPD现象学,流行病学和诊断分类,回忆和重新激活的概述.
- 突出差异诊断在患有后迷幻并发症的患者的重要性.
- 讨论这些疾病的临床相关性和预后.
主要方法:
- 从病例报告和临床经验中审查现有证据.
- 心理学诱导的感知障碍的现象学和流行病学分析.
- 对于HPPD,闪回和重新激活的差异性诊断考虑.
主要成果:
- HPPD的患病率一般较低,但可能具有临床意义.
- 闪回和重新激活更常见,但记录较少.
- 许多患有后迷幻并发症的患者不符合HPPD标准,需要仔细的差异诊断.
结论:
- 准确的差异诊断至关重要,以避免夸大HPPD患病率估计.
- 虽然HPPD很少会慢性化,但它通常在一年内消失.
- 目前,基于证据的HPPD治疗选择有限,基于病例报告和临床经验.
相关概念视频
CNS Stimulants: Psychedelic Agents
639
Hallucinogens, also known as psychedelic drugs, are a class of substances known for their ability to alter perception, cognition, and emotions. Despite their profound effects on the mind, these drugs are non-addictive, setting them apart from many other abused substances. The mechanism of action of these drugs lies in their impact on the 5-HT2A receptor in the brain. Upon activation, this receptor couples to Gq-type G proteins, triggering a cascade that releases intracellular calcium. This...
639
Hallucinogens and Psychedelics
570
Hallucinogens are psychoactive substances that profoundly alter perceptual experiences, generating unreal visual and sensory images. Often referred to as psychedelic drugs — a term derived from the Greek words "psyche" (mind) and "delos" (revealing) — these substances include marijuana and lysergic acid diethylamide (LSD), among others. These drugs vary in intensity and effects.
Marijuana, derived from the dried leaves and flowers of the hemp plant, contains...
Marijuana, derived from the dried leaves and flowers of the hemp plant, contains...
570
Psychosis and Antipsychotic Drugs: Overview
779
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
779
Post-traumatic Stress Disorder
448
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
448
Altered States of Awareness
962
Altered states of consciousness represent significant deviations from one's normal mental state. These deviations can range from subtle changes in awareness to profound transformations in perception, thought processes, and sensory experiences. Altered states of consciousness can be triggered by various factors, including drug use, meditation, hypnosis, illness, or even intense fatigue.
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
962
An Overview of Psychoactive Drugs
528
Psychoactive drugs impact brain function, influencing perception, mood, consciousness, cognition, and behavior. These substances are grouped based on their effects and the mechanisms by which they act.
Stimulants such as cocaine, amphetamines, and nicotine enhance brain activity, leading to increased alertness, attention, and energy. These drugs typically raise heart rate, blood pressure, and body temperature. While they can induce feelings of euphoria, their misuse can result in severe health...
Stimulants such as cocaine, amphetamines, and nicotine enhance brain activity, leading to increased alertness, attention, and energy. These drugs typically raise heart rate, blood pressure, and body temperature. While they can induce feelings of euphoria, their misuse can result in severe health...
528


