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癔症性精神病的诊断合理吗?:癔症性精神病、反应性/心因性精神病及精神分裂症的临床研究

Is the diagnosis of hysterical psychosis justified?: Clinical study of hysterical psychosis, reactive/psychogenic psychosis, and schizophrenia.

作者信息

Modestin J, Bachmann K M

机构信息

Psychiatric University Clinic of Berne, Switzerland.

出版信息

Compr Psychiatry. 1992 Jan-Feb;33(1):17-24. doi: 10.1016/0010-440x(92)90074-z.

Abstract

Using the method of a "blind" retrospective evaluation of clinical charts, 21 female patients with hysterical psychosis were compared with 21 patients diagnosed as suffering from nonhysterical reactive/psychogenic psychosis and 42 patients diagnosed as schizophrenic according to the Ninth Revision of the International Classification of Diseases (ICD-9). All three groups were restricted to first admissions and matched with regard to sex, age, and year of admission. Many significant differences were found between hysterical psychosis and schizophrenia; the only significant differences between hysterical and nonhysterical reactive/psychogenic psychosis were the presence of histrionic personality and the frequent shift in symptomatology in the former. Thus, both disorders seem to be identical.

摘要

采用对临床病历进行“盲法”回顾性评估的方法,将21例癔症性精神病女性患者与21例被诊断为非癔症性反应性/心因性精神病的患者以及42例根据《国际疾病分类》第九版(ICD - 9)诊断为精神分裂症的患者进行比较。所有三组均限于首次入院,并在性别、年龄和入院年份方面进行了匹配。在癔症性精神病和精神分裂症之间发现了许多显著差异;癔症性与非癔症性反应性/心因性精神病之间唯一的显著差异是前者存在表演型人格以及症状的频繁变化。因此,这两种疾病似乎是相同的。

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