섬망 아형의 임상적 의의

• 영문명: Clinical Implication of Delirium Subtype
• 발행기관: 대한신경정신의학회
• 저자명: 이영민 이병대 박제민
• 간행물 정보: 『신경정신의학』제48권 제3호, 123~129쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2009.05.30

영문 초록

Delirium is a common and serious condition which is often under-detected and under-treated. This may be partly due to a lack of concensus regarding the definition of its subtypes. Subtypes of delirium may be explained according to different pathophysiologic mechanisms. Three subtypes (hyperactive, hypoactive, mixed) of delirium, based on arousal disturbance and psychomotor behavior have been identified. However, definitions may vary from author to author. Irrespective of the way delirium is diagnosed and the subtypes defined, the hypoactive subtype is more prevalent than the hyperactive. Despite this prevalence, a diagnosis of hypoactive delirium is often missed, and rather ismost frequently misdiagnosed as depression or dementia. The hypoactive delirium subtype may be less responsive to antipsychotic drug therapy than the hyperactive delirium subtype. Clinical subtypes of delirium may provide information concerning the etiology, the pathogenesis, and the prognosis of delirium, but also may have therapeutic consequences. There remains no consensus regarding the optimal classification system for delirium subtypes. More studies are needed to isolate two, three, or more delirium subtypes, in terms of predicting factors, outcome predictors, and therapeutic management.

목차

서 론

섬망의 역사적 개념

섬망의 임상 아형과 유병률

섬망 아형의 분류

섬망의 원인에 따른 아형의 특징

섬망의 아형과 병태생리

섬망의 아형과 치료 반응

결 론

REFERENCES

키워드

ZDelirium Subtypes Hypoactive Hyperactive Mixed