travel psychosis
Introduction
Introduction to journey psychosis Journey mentality refers to short-term psychotic disorders that occur during travel, one is called coconut banana syndrome and the other is the response of travelers to the experience of travel itself. The description of the latter and the clinical manifestations of journey psychosis are basically In line, the majority of patients with mental illness are young and middle-aged, mostly male, mostly farmers or migrant workers. Most of them are under primary school, and the education level is low. Most patients have no family history and personal history due to lack of train passenger transport. The population is composed of demographics, so the above conclusions need further research and confirmation. The clinical manifestations of journey psychosis are completely consistent with the characteristics of transient psychiatric disorders. The manifestations are diverse. The common four types of symptom clusters are as follows: The first category is location disorientation, injury, personality disorder, self-orientation, time-disordered disorder, Effective conversation, anxiety; the second category is eye confusion, purposeless behavior, other delusions, illusion, destruction; the third category is murder, horror, jumping, auditory hallucinations, gibberish, illusion, forgetting, ridiculous, Comprehension difficulties, speech disorder; the fourth category is relationship delusion, crying, illusion, illusion, depression, from clinical classification can be summarized into two categories: one is mainly based on consciousness disorder, the other is thinking disorder and behavior disorder. Mainly. basic knowledge The proportion of illness: 0.03% Susceptible people: no specific population Mode of infection: non-infectious Complications: mental illness
Cause
Journey of mental illness
Diet (15%):
The patient does not eat or eat for a long time, and the number of water supply in the compartment is less than that of the heavy drinking water. Under the above conditions, the patient's internal environment is decompensated, and abnormal physiological indicators (such as white blood cell count, blood sugar, and potassium) occur. , hematocrit, etc.).
Personality and mental state (35%):
Patients with introverted or paranoid personality, expressed as silence, solitude, pessimism, hostility to others, etc., have a certain psychological quality. Patients often have an uncertain future before going to the car. Most of them are uneasy and uneasy. They often go out for the first time and carry their hard-earned entrepreneurial capital. They are in strange cars and lack interpersonal communication.
Environment (30%):
There is a certain geographical and temporal distribution of the onset of mental illness: the geographical environment is the largest from the mainland to the Lanxin line in Urumqi. This section is located in the Gobi Desert. The smoke trees are rare and belong to a dry plateau climate. The time is from January to January. During the peak of the Spring Festival in March, it was the most.
1. Most of the psychiatric patients travel for the first time, with low education level, mostly farmers and migrant workers. The age distribution is mainly young and middle-aged, with long travel time and long sleeplessness.
2. Due to the serious train overcrowding, the CO2 concentration in the compartment where the patient is located is high. Most of the patients have no seats in the hard seat. They are either standing or trapped in a squat, and their physical activity is limited, which is bound to be extremely fatigued.
Prevention
Journey mental illness prevention
In order to avoid the mental disorder of the journey, it is recommended that:
1. Introverted and secluded people are best accompanied by people. When problems are encountered, there are business and quantity to solve them together;
2. Prepare the journey well in advance, properly arrange your own itinerary, and combine work and rest to ensure adequate rest and nutrition;
3, properly keep your money, the loss of money is one of the important factors causing passengers' insanity;
4. Be good at communicating with others so that you can get help from others during your trip.
Complication
Journey psychiatric complications Complications
The course of mental illness is more than a few hours to a week. Most patients can relax after they stop traveling or take a rest. If a psychiatric drug is generally used, it can be effective. Due to the lack of long-term follow-up data, it is The prognosis is still difficult to determine.
Symptom
Journey mental illness symptoms common symptoms victim delusion fatigue melancholy consciousness disorder smirk flashback auditory hallucination illusion self-discipline disorder
The clinical manifestations of travel psychosis are completely consistent with the characteristics of transient psychiatric disorders, and its manifestations are diverse. Wu Wenyuan's research and analysis have resulted in four types of symptom clusters: the first category is location disorientation, wounding, character disorientation, self-orientation, and time orientation. Obstacles, unable to talk effectively, anxiety; the second category is eye confusion, purposeless behavior, other delusions, illusion, destruction; the third category is murder, horror, jumping, auditory hallucinations, gibberish, illusion, forgetting , ridiculous, difficult to understand, disordered words; the fourth category is relationship delusion, crying, illusion, illusion, melancholy, can be classified into two categories from clinical classification: one is based on consciousness disorder, the other is thinking disorder and Behavioral disorders are the main ones.
Examine
Journey check of mental illness
No special, neurological examination, exclusion of organic lesions.
Diagnosis
Diagnosis of travel psychosis
Diagnostic criteria
1 Acute onset during long-distance travel (railway, road, waterway or intercontinental) or just after the trip;
2 Before the onset, there are obvious effects of mental stress, physical fatigue, overcrowding, chronic hypoxia, lack of sleep, lack of nutrients and water;
3 The course of the disease is short, after stopping the trip and taking a full rest, it will relieve itself within a few hours to a week;
4 should be excluded from the disease and travel-induced schizophrenia or affective disorder.
Differential diagnosis
Disorders and travel-induced schizophrenia or affective disorders should be excluded.
