The differential diagnosis of pseudobulbar affect (PBA) - Distinguishing PBA among disorders of mood and affect

被引:41
作者
Arciniegas, DB
Lauterbach, EC
Ginsberg, DL
Anderson, KE
McAllister, TW
Chow, TW
Reeve, A
Flashman, LA
Schiffer, RB
Hurley, RA
Silver, JM
Kaufer, DI
机构
关键词
pseudobulbar affect; pathological laughing and crying; affective lability; serotonin; dopamine; glutamate; antidepressant; sigma-1; agonist; NMDA receptor antagonist;
D O I
10.1017/S1092852900026602
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This monograph summarizes the proceedings of a roundtable meeting convened to discuss pseudobulbar affect (PBA). Two didactic lectures were presented, followed by a moderated discussion among 11 participants. Post-meeting manuscript development synthesized didactic- and discuss ion-based content and incorporated additional material from the neuroscience literature. A conceptual framework with which to distinguish between disorders of mood and affect is presented first, and disorders of affect regulation are then reviewed briefly. A detailed description of the most common of these disorders, PBA, is the focus of the remainder of the monograph. The prevalence, putative neuranatomic and neurochemical bases of PBA are reviewed, and current and emerging methods of evaluation and treatment of persons with PBA are discussed. The material presented in this monograph will help clinicians better recognize, diagnose, and treat PBA, and will form a foundation for understanding and interpreting future studies of this condition.
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页码:1 / 14
页数:14
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