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[精神分裂症易患性——理论构想还是临床研究工具?]

[Schizotaxia--theoretical construct or a tool for clinical research?].

作者信息

Parnowska Dorota

机构信息

III Kliniki IPiN w Warszawie.

出版信息

Psychiatr Pol. 2004 Sep-Oct;38(5):783-94.

Abstract

From Kretschmer's trials binding personality traits with risk of psychoses have been described in literature. Still there is lack of one theory linking genetic factors with schizophrenia. In 1962 Meehl, introducing the term "schizotaxia", had been trying to find an answer to such a question. He described schizotaxia as subtle neuronal integration deficit caused by a single genetic factor, which depending on conditions, can give schizotypy or schizophrenia. Actually, this theory has only historical meaning. Recently Tsuang and Faraone reformulated the concept of schizotaxia used in clinical studies. Preliminary results lead to a conclusion that presence of schizotaxia has a detrimental influence on social functioning, which is improving after neuroleptic therapy. Studies confirmed that the risk of schizophrenia in persons with schizotaxia was higher as compared to persons without such characteristics. It is supposed, that paying attention to traits of schizotaxia will improve the possibility of early diagnosis of schizophrenia.

摘要

从克雷奇默的试验开始,将人格特质与精神病风险联系起来的研究在文献中已有描述。然而,仍然缺乏一种将遗传因素与精神分裂症联系起来的理论。1962年,米尔提出了“分裂性素质”这一术语,试图找到这个问题的答案。他将分裂性素质描述为由单一遗传因素导致的细微神经元整合缺陷,这种缺陷根据情况不同,可能导致分裂型人格或精神分裂症。实际上,这一理论仅具有历史意义。最近,曾文星和法隆重新阐述了临床研究中使用的分裂性素质概念。初步结果得出结论,分裂性素质的存在对社会功能有不利影响,而在接受抗精神病药物治疗后这种影响会有所改善。研究证实,与没有这种特征的人相比,有分裂性素质的人患精神分裂症的风险更高。据推测,关注分裂性素质的特征将提高精神分裂症早期诊断的可能性。

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