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Korean Journal of Schizophrenia Research 2003;6(1):24-31.
기분 증상과 정신 증상을 동시에 보이는 환자의 생물학적인 치료
박이진·조자현·한상익·전양환
Abstract
Psychotic and mood symptoms were often shown simultaneously as clinical features in many psychiatric patients. Psychotic patients with mood symptoms in clinical situations could be classified empirically: 1) major depressive disorder with psychotic features, 2) bipolar I disorder, manic episode with psychotic features, 3) schizoaffective disorder, and 4) schizophrenia with mood symptoms. So far, antipsychotics, antidepressants, ECT, and mood stabilizers have been used for making the entangled symptoms be manageable and treatable. The symptomatic caricatures as well as diagnosis could be a reasonable guide to get the goal. Atypical antipsychotics might be regarded as choice drugs for patients with psychotic and mood symptoms. In sum, it should be necessary for clinicians to carefully employ the combination therapies with scientific evidences. (J Schizophrenia Clinics 2003;6:24-31)
Key Words: Schizophrenia·Major depressive disorder·Schizoaffective disorder·Bipolar I disorder·Antipsychotics Antidepressant·ECT·Atypical antipsychotics.
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