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[青少年首发精神分裂症的误诊]

[Misdiagnosis of first onset schizophrenia in adolescents].

作者信息

Braun-Scharm H

机构信息

Zentrum für Kinder- und Jugendpsychiatrie, Tagesklinik für Jugendliche, Zürich.

出版信息

Fortschr Med Orig. 2001;119(1):45-8.

Abstract

The intensity of the symptomatology of schizophrenia in adolescents is essentially the same as in adults. As a rule schizophrenic psychoses in adolescence are first manifestations, and other psychiatric disorders have to be ruled out. The classical differential diagnoses include: exogenous psychoses, in particular drug-induced; affective psychoses; pubertal crises; personality disorders. Special early-onset features arise because drastic behaviour of another nature is occasionally misinterpreted or--more commonly the case--early schizophrenia in adolescents is not recognised and treated in time because of the uncharacteristic initial symptoms.

摘要

青少年精神分裂症的症状强度与成年人基本相同。通常,青少年期的精神分裂症是首发表现,必须排除其他精神障碍。典型的鉴别诊断包括:外源性精神病,尤其是药物所致的;情感性精神病;青春期危机;人格障碍。由于另一种性质的剧烈行为偶尔会被误解,或者更常见的情况是,青少年早期精神分裂症因初始症状不典型而未被及时识别和治疗,从而出现特殊的早发特征。

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