Abstract：
Like many physical disorders, the clinical signs associated with metabolic diseases affecting thyroid, adrenal, and pancreatic function are reflective of nonspecific changes in behavior. Additionally, patients who have underlying disorders associated with fear, anxiety, stress, conflict, and/or panic may be under treatment with medications that alter basal thyroid, glucose, and cortisol levels. Through reinforcement and punishment of behaviors associated with clinical signs caused by organic or iatrogenic endocrine disease, behaviors can be perpetuated and become persistent patterns. Screening all patients presenting with a primary behavior complaint or those with behavioral clinical signs of endocrine diseases is essential. Alleviating stress immediately while working up or treating metabolic disease reduces suffering and may stave off the adoption of behavior patterns more permanently.
摘要：
像许多身体疾病一样，与影响甲状腺的代谢性疾病相关的临床体征，肾上腺,胰腺功能反映了行为的非特异性变化。此外,患有与恐惧相关的潜在疾病的患者，焦虑,压力，冲突,和/或恐慌可能正在接受改变基底甲状腺的药物治疗，葡萄糖，和皮质醇水平。通过强化和惩罚与器质性或医源性内分泌疾病引起的临床体征相关的行为，行为可以永存并成为持久的模式。筛查所有表现为主要行为主诉或具有内分泌疾病行为临床体征的患者至关重要。在处理或治疗代谢性疾病时立即缓解压力可以减少痛苦，并且可以更永久地避免采用行为模式。
