Kamenchenko P V, Vorob'ev V Iu
Zh Nevropatol Psikhiatr Im S S Korsakova. 1992;92(2):74-8.
Analysis of the dynamics of the disorders has shown that in the acute period following trauma, the patients' status was "abnormal personality in nature, being determined by affective and shock reaction in the hyperkinetic and hypokinetic forms. The subacute period was characterized by the predominance of posttraumatic stress disorders (PTSD), whereas the long-term posttraumatic period by personality disorders pertaining to the asthenic (type I) and asthenic (type II) sphere. The clinical characteristics of type I patients was determined by a range of asthenic, psychasthenic, autistic, sensitive, subdepressive, and hystero-conversion disorders, whereas from the clinicopsychological standpoint, by a high level of somatization, anxiety, depressive disorders, with the aggressiveness level corresponding with normal. It has been established that social rehabilitation of such patients requires measures aimed at an increase of the activity and improvement of communicative functions. Hypoparanoic, excitable and ++hystero-histrionic disorders were common to type II cases. Clinical and psychological examinations have revealed a high level of aggressiveness and anxiety, depressive disorders; somatization was found to be within normal. Social rehabilitation of such patients is to be reduced to a great measure to the correction of deformed personality lines.
对这些病症动态变化的分析表明，在创伤后的急性期，患者的状态为“本质上是异常人格，由运动亢进和运动减退形式下的情感及休克反应所决定。亚急性期的特征是创伤后应激障碍（PTSD）占主导，而创伤后长期阶段则以属于衰弱型（I型）和衰弱型（II型）范畴的人格障碍为特征。I型患者的临床特征由一系列衰弱、精神衰弱、自闭症、敏感、亚抑郁和癔症转换性病症所决定，而从临床心理学角度来看，则由高水平的躯体化、焦虑、抑郁性病症决定，攻击水平与正常水平相当。已经确定，此类患者的社会康复需要采取旨在提高活动能力和改善交流功能的措施。II型病例常见低偏执、易激惹和++癔症 - 表演性病症。临床和心理检查显示攻击和焦虑水平高、有抑郁性病症；躯体化情况在正常范围内。此类患者的社会康复在很大程度上归结为对畸形人格特征的矫正。
