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[精神分裂症早发和晚发的特征]

[Characteristics of early and late onset of schizophrenia].

作者信息

Rzewuska M, Wrońska A

机构信息

Samodzielnej Pracowni Farmakoterapii, Warszawie.

出版信息

Psychiatr Pol. 1992 Sep-Oct;26(5):337-45.

PMID:1302334
Abstract

Two groups of patients derived from paranoid schizophrenia population of Mokotów were compared. The early onset group (before 25th year of age 57 persons) and late onset group (after 40 year of age 48 persons). Characteristics of the course of illness in both groups were compared with respect to productive symptomatology and adaptation. The course of illness was more favorable in the case of late onset psychoses (shorter relapses, longer improvements, fewer hospitalizations, better adaptation). In late schizophrenias the productive symptoms were more often directed towards environment and identity and consistency less frequent. These differences were interpreted as differences in mechanism of personality integration with paranoid syndrome in early and late onset schizophrenia.

摘要

对来自莫科托夫偏执型精神分裂症患者群体的两组患者进行了比较。早发组(25岁之前,共57人)和晚发组(40岁之后,共48人)。就阳性症状学和适应性方面,对两组患者的病程特征进行了比较。晚发性精神病患者的病程更有利(复发时间更短、改善时间更长、住院次数更少、适应性更好)。在晚发性精神分裂症中,阳性症状更常指向环境,而身份认同和一致性方面的症状则较少见。这些差异被解释为早发性和晚发性精神分裂症中人格与偏执综合征整合机制的差异。

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