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急性短暂性精神病性障碍:与精神分裂症的比较

Acute and transient psychotic disorders: comparison with schizophrenia.

作者信息

Malhotra Savita, Malhotra Sameer

机构信息

Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012, India.

出版信息

Curr Psychiatry Rep. 2003 Jul;5(3):178-86. doi: 10.1007/s11920-003-0039-8.

Abstract

Concept and nosologic status of acute and transient psychotic disorders, as they appear in the tenth edition of the International Classification of Disease, have seen review from the standpoint of validation and delineation from schizophrenia and affective disorders. Current research, particularly on the epidemiology, course, and outcome, and family genetic studies indicate that these disorders are common among women in developing countries, as well as among lower socioeconomic status and rural subjects. These patients have greater frequency of exposure to stress before childbirth, a family history of acute and transient psychotic disorder (and not of schizophrenia), and a course and outcome that is different from that of schizophrenia. The findings so far support the argument that acute and transient psychotic disorders are different from schizophrenia.

摘要

《国际疾病分类》第十版中出现的急性短暂性精神病性障碍的概念和疾病分类地位,已从验证以及与精神分裂症和情感性障碍的区分角度进行了审视。当前的研究,尤其是关于流行病学、病程和结局以及家族遗传学研究表明,这些障碍在发展中国家的女性中很常见,在社会经济地位较低者和农村人群中也很常见。这些患者在分娩前经历压力的频率更高,有急性短暂性精神病性障碍(而非精神分裂症)的家族史,且其病程和结局与精神分裂症不同。迄今为止的研究结果支持急性短暂性精神病性障碍与精神分裂症不同的观点。

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