Adam Christopher, Lehmkuhl Gerd
Klinik und Poliklinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Universität zu Köln.
Z Arztl Fortbild Qualitatssich. 2002 Oct;96(9):579-85.
Research into schizophrenic disorders increasingly focusses on the early stage of the disease (prodrome). Experience in rehabilitation treatment and relapse prevention have led to new diagnostic and treatment strategies before the onset of schizophrenia that could contribute to disease prevention. The present article reports on the latest research results. From the point of view of medical practice negative symptoms and cognitive dysfunctions play a major role in the assessment of prodromal signs. Psychosocial and psychotherapeutic interventions are available for treating patients in the prodromal phase. But so far, there has not been sufficient data to recommend the use of antipsychotics before the onset of schizophrenia.
对精神分裂症的研究越来越聚焦于疾病的早期阶段(前驱期)。康复治疗和预防复发方面的经验催生了在精神分裂症发作前的新诊断和治疗策略,这可能有助于疾病的预防。本文报道了最新的研究成果。从医疗实践的角度来看,阴性症状和认知功能障碍在评估前驱症状方面起着重要作用。有心理社会和心理治疗干预措施可用于治疗前驱期患者。但到目前为止,尚无足够数据推荐在精神分裂症发作前使用抗精神病药物。