関: akathisia、psychomotor excitement、restlessness

WordNet

a lack of patience; irritation with anything that causes delay (同)impatience
inability to rest or relax or be still (同)uneasiness, queasiness
the quality of being ceaselessly moving or active; "the restlessness of the wind"
disturbance usually in protest (同)excitement, turmoil, upheaval, hullabaloo
the act of agitating something; causing it to move around (usually vigorously)
a state of agitation or turbulent change or development; "the political ferment produced new leadership"; "social unrest" (同)ferment, fermentation, tempestuousness, unrest
a mental state of extreme emotional disturbance
of or relating to or characterizing mental events that have motor consequences or vice versa

PrepTutorEJDIC

〈U〉(激しく)ゆり動かすこと,かき混ぜること / 〈U〉(心の)動揺 / 〈C〉〈U〉扇動,アジ

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/05/10 10:32:54」(JST)

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Psychomotor agitation is a series of unintentional and purposeless motions that stem from mental tension and anxiety of an individual. This includes pacing around a room, wringing one's hands, pulling off clothing and putting it back on and other similar actions. In more severe cases, the motions may become harmful to the individual, such as ripping, tearing or chewing at the skin around one's fingernails or lips to the point of bleeding. Psychomotor agitation is a symptom typically found in major depressive disorder or obsessive-compulsive disorder, and sometimes the manic phase in bipolar disorder, although it can also be a result of an excess intake of stimulants. The middle aged and the elderly are more at risk to express this condition^{[citation needed]}.

Treatment

Both intramuscular midazolam and droperidol decrease the duration of agitation.^[1]

References

^ Isbister GK, Calver LA, Page CB, Stokes B, Bryant JL, Downes MA (October 2010). "Randomized controlled trial of intramuscular droperidol versus midazolam for violence and acute behavioral disturbance: the DORM study". Ann Emerg Med 56 (4): 392–401.e1. doi:10.1016/j.annemergmed.2010.05.037. PMID 20868907.

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English Journal

Phenomenology of manic episodes according to the presence or absence of depressive features as defined in DSM-5: Results from the IMPACT self-reported online survey.

Vieta E1, Grunze H2, Azorin JM3, Fagiolini A4.Author information 1Bipolar Disorder Programme, Institute of Neuroscience, University of Barcelona Hospital Clínic, IDIBAPS, CIBERSAM, C/Villarroel 170, Barcelona 08036, Catalonia, Spain. Electronic address: evieta@clinic.ub.es.2Institute of Neuroscience, Academic Psychiatry, Newcastle upon Tyne, NE4 5PL, UK.3Hospital Ste. Marguerite, 270 Bd Sainte Marguerite, 13274 Marseille, France.4Department of Molecular Medicine, University of Siena, School of Medicine, Siena, Italy; Department of Mental Health, University of Siena Medical Center, Siena, Italy.AbstractBACKGROUND: The aim of this study was to describe the phenomenology of mania and depression in bipolar patients experiencing a manic episode with mixed features as defined in the new Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Journal of affective disorders.J Affect Disord.2014 Mar;156:206-13. doi: 10.1016/j.jad.2013.12.031. Epub 2014 Jan 1.
BACKGROUND: The aim of this study was to describe the phenomenology of mania and depression in bipolar patients experiencing a manic episode with mixed features as defined in the new Diagnostic and Statistical Manual of Mental Disorders (DSM-5).METHODS: In this multicenter, international on-line sur
PMID 24439831

Anti-NMDA receptor encephalitis presenting with total insomnia - A case report.

Marques IB1, Teotónio R2, Cunha C2, Bento C2, Sales F2.Author information 1Department of Neurology, Coimbra University Hospital, Praceta Prof. Mota Pinto, 3000-075 Coimbra, Portugal. Electronic address: inesmbmarques@gmail.com.2Department of Neurology, Coimbra University Hospital, Praceta Prof. Mota Pinto, 3000-075 Coimbra, Portugal.AbstractFatal insomnia (FI) is the first diagnosis to be considered by most neurologists when approaching a patient presenting with total insomnia followed by personality and cognitive changes, disturbance of alertness, autonomic hyperactivation and movement abnormalities. We report the case of a 30year-old male patient who presented with total insomnia followed by episodes of psychomotor restlessness resembling anxiety attacks. Twenty days later, he developed refractory convulsive status epilepticus with admission to Intensive Care Unit. He progressed to a state of reduced alertness and responsiveness, presenting periods of agitation with abnormal dyskinetic movements, periods of autonomic instability and central hypoventilation. Workup revealed antibodies against N-methyl-d-aspartate receptor (NMDAR). Immunotherapy treatment led to a very significant improvement with the patient presenting only slight frontal lobe dysfunction after one year of recovery. To the best of our knowledge this is the first report of a patient with anti-NMDAR encephalitis first presenting with total insomnia. Our aim is to alert that anti-NMDAR encephalitis must be considered in the differential diagnosis of FI, especially in sporadic cases. Distinguishing the two conditions is very important as, contrarily to the fatal disclosure of FI, anti-NMDAR encephalitis is potentially reversible with adequate treatment even after severe and prolonged disease.
Journal of the neurological sciences.J Neurol Sci.2014 Jan 15;336(1-2):276-80. doi: 10.1016/j.jns.2013.10.034. Epub 2013 Oct 30.
Fatal insomnia (FI) is the first diagnosis to be considered by most neurologists when approaching a patient presenting with total insomnia followed by personality and cognitive changes, disturbance of alertness, autonomic hyperactivation and movement abnormalities. We report the case of a 30year-old
PMID 24210076

Increased levels of neurotrophins in the cerebrospinal fluid of children with Epstein-Barr virus meningoencephalitis.

Chiaretti A1, Capozzi D2, Mariotti P3, Valentini P2, Manni L4, Buonsenso D2, Fantacci C2, Ferrara P2.Author information 1Department of Pediatrics, Catholic University of the Sacred Heart, A. Gemelli Hospital, Largo Gemelli, I-00168 Rome, Italy. Electronic address: achiaretti@yahoo.it.2Department of Pediatrics, Catholic University of the Sacred Heart, A. Gemelli Hospital, Largo Gemelli, I-00168 Rome, Italy.3Pediatric Neurology, Catholic University of the Sacred Heart, A. Gemelli Hospital, Rome, Italy.4Institute of Translational Pharmacology, CNR, Rome, Italy.AbstractOBJECTIVE: The aim of this study was to evaluate the expression of nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF) in the cerebrospinal fluid (CSF) of children with Epstein-Barr virus (EBV)-induced meningoencephalitis (ME) in order to establish a possible correlation with laboratory findings and neurological manifestations.
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases.Int J Infect Dis.2014 Jan 7. pii: S1201-9712(13)00359-7. doi: 10.1016/j.ijid.2013.11.006. [Epub ahead of print]
OBJECTIVE: The aim of this study was to evaluate the expression of nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF) in the cerebrospinal fluid (CSF) of children with Epstein-Barr virus (EBV)-induced meningoencephalitis (ME) in order to establish a possible correlation with labo
PMID 24406738

Japanese Journal

症例妊娠後期の精神運動興奮にバルプロ酸が奏功し無事出産に至った1症例

高岡ひとみ,永井宏,衞藤暢明 [他]
精神科 18(4), 479-483, 2011-04-00
NAID 40018787962

Elevated Depressive Symptoms are Associated with Hypertriglyceridemia in Japanese Male Workers

Kamezaki Fumihiko,Sonoda Shinjo,Nakata Sei,Okazaki Masahiro,Tamura Masahito,Abe Haruhiko,Takeuchi Masaaki,Otsuji Yutaka
Internal Medicine 50(21), 2485-2490, 2011
… p<0.01), and the major depressive symptom was psychomotor agitation (odds ratio: 1.47; …
NAID 130001288601

ペロスピロン投与後に知覚変容の改善及びめざめ現象が認められた統合失調症の1症例

長友慶子,土井拓,植田勇人 [他],石田康,Nagatomo Keiko,Doi Taku,Ueda Yuto,Ishida Yasushi,ナガトモケイコ,ドイタク,ウエダユウト,イシダヤスシ
九州神経精神医学 50(3・4), 173-178, 2004-12-00
… At admission to the hospital, he showed auditory hallucinations, delusions including sensory distortion, irritability and psychomotor excitement. … Due to his improved cognitive function, he temporarily developed anxiety and mild agitation because he was confronting reality. …
NAID 120001491410

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★リンクテーブル★

リンク元	「restlessness」「精神運動興奮」「精神運動性激越」「psychomotor excitement」
関連記事	「agitation」「psychomotor」