Morozov G V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1975;75(9):1361-5.
The role of a psychic trauma depends upon the stage and course of schizophrenia. It can give a shade of reactive psychosis to the initial stage. The role of the psychogenic factor is still more apparent during the advanced stages of schizophrenia in a torpid course of the disease where it can cause exacerbation of the main symptoms, short-term excitatory hysteriform reactions, depressive or depressive-paranoid states partly reflecting the stress provoking situation. During the remission psychic trauma is usually responsible for the exacerbation of schizophrenic symptoms and the subsequent structural changes of the original defect. Thus, psychic trauma interacts with endogenous factors and influences the whole stereotype of the disease development.
精神创伤的作用取决于精神分裂症的阶段和病程。它可使初期阶段带有反应性精神病的色彩。在精神分裂症晚期，当疾病呈迟缓病程时，心理因素的作用更为明显，它可导致主要症状加剧、出现短期兴奋性癔症样反应、抑郁或抑郁偏执状态，部分反映出引发应激的情境。在缓解期，精神创伤通常导致精神分裂症症状加剧及原有缺陷的后续结构变化。因此，精神创伤与内源性因素相互作用，影响疾病发展的整个模式。
