期刊
PSYCHOLOGICAL MEDICINE
卷 41, 期 3, 页码 453-461出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0033291710001091
关键词
Delusional disorder; monosymptomatic psychosis; olfactory; paranoid
资金
- Instituto de Salud Carlos III, Centro de Investigacion en Red de Salud Mental, CIBERSAM
Background. The nosological status of olfactory reference syndrome (ORS) is a matter of debate and there is uncertainty as to what treatments are effective. Method. The world literature was searched for reports of cases of ORS. Clinical, nosological and therapeutic information from cases meeting proposed diagnostic criteria for the disorder was summarized and tabulated. Results. A total of 84 case reports (52 male/32 female) were found. Age of onset was <20 years in almost 60% of cases. Smell-related precipitating events were recorded in 42%. Most patients could not smell the smell or only did so intermittently. Authors of the reports expressed reservations about the delusional nature of the belief in slightly under half of the cases. Over two-thirds were improved or recovered at follow-up, with the disorder responding to antidepressants and psychotherapy more frequently than to neuroleptics. Conclusions. ORS is a primary psychiatric syndrome that does not fit well into its current classification as a subtype of delusional disorder, both in terms of its nosology and its response to treatment.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据