[Depersonalization crisis: between acute anxiety and psychosis].
OBJECTIVE
The depersonalization is a clinical condition of frequent observation that occurs often in the late adolescence and among the young adults. This condition most of the time causes anguish justified from the gravity of the symptomatic perception, involving consequently a series of clinical problems, not last the answer that such condition generates in the observer: answer not only aware, that influences strongly the diagnostic interpretation and the therapeutic approach.


METHODS
We tried to investigate this clinical condition within a sample of 267 subjects, 120 of them examinated in our outpatients ambulatory of psychotherapy and 147 examinated in E.R. and in inpatients unit.


RESULTS
The percentage of patients with depersonalization, similarly to other studies, is quantitatively different in the two samples. However, what seems obvious is that if the differences for what concerns the frequency and the symptomatic intensity are rather marked, otherwise for what concerns the psychodinamic aspect the differences appears less sharp.


CONCLUSIONS
This observation puts in evidence, on the model of many international studies about the latent psychosis, that in psychiatry at the seriousness of the psychodynamic and prognostic aspects not always corresponds the seriousness of the symptomatic aspects.
Cavaggioni
G
G
Università degli Studi di Roma "La Sapienza", Dipartimento di Scienze Psichiatriche e Medicina Psicologica, U.O.D. di Psicoterapia, Roma, Italia. gabriele.cavaggioni@uniroma1.it
Armando
M
M
D000208:Acute Disease; D000293:Adolescent; D001008:Anxiety Disorders / Q000453:epidemiology* / Q000523:psychology; D015897:Comorbidity; D003861:Depersonalization / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology; D004630:Emergencies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008960:Models, Psychological; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data*; D010045:Outpatients / Q000523:psychology*; D011567:Psychiatric Department, Hospital / Q000706:statistics & numerical data*; D011595:Psychomotor Agitation / Q000453:epidemiology / Q000523:psychology; D011618:Psychotic Disorders / Q000453:epidemiology* / Q000523:psychology; D011619:Psychotropic Drugs / Q000009:adverse effects / Q000627:therapeutic use; D012384:Rome / Q000453:epidemiology; D055815:Young Adult
D011619:Psychotropic Drugs