Lauber C, Rössler W
Zentrale Sozialpsychiatrische Dienste, Psychiatrische Universitätsklinik Zürich.
Praxis (Bern 1994). 2001 May 31;90(22):987-92.
Difficulties in early detection of schizophrenic psychosis are two-fold: the non-specificity of the prodromal symptoms and the skepticism to or the rejection of the medical treatment by the patient. In this paper we focus on the central role of the GP. Due to the long-lasting trustful relationship with the patient's family he is able to establish a contact to the patient. Questions for the assessment of the most mentioned prodromal symptoms (behaviour, affectivity, cognition) are indicated. Further steps in the evaluation as well as differential diagnoses are pointed out. Finally, the importance of early detection of psychosis and the GP's role herein is shown.
前驱症状的非特异性以及患者对医疗治疗的怀疑或排斥。在本文中，我们着重探讨全科医生（GP）的核心作用。由于与患者家庭长期保持信任关系，他能够与患者建立联系。文中指出了用于评估最常提及的前驱症状（行为、情感、认知）的问题。还指出了评估的进一步步骤以及鉴别诊断方法。最后，阐述了精神病早期检测的重要性以及全科医生在此过程中的作用。
