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分裂情感性精神病具有异质性吗?一项遗传学调查的结果,II。

Are schizoaffective psychoses heterogeneous? Results of a genetic investigation, II.

作者信息

Angst J, Felder W, Lohmeyer B

出版信息

J Affect Disord. 1979 Jun;1(2):155-65. doi: 10.1016/0165-0327(79)90034-x.

Abstract

150 schizoaffective probands and their 1029 first-degree relatives were examined in search of the heterogeneity of the disorder. The sample of probands was split by several criteria. Among the various subgroups the morbidity risk of relatives was analysed as an external criterion for heterogeneity. Female relatives show a higher risk for affective disorders that male relatives. This is true for relatives of male and female index patients. Schizophrenia is equally frequent in male and female relatives. Schizoaffective psychoses take an intermediate position. The further analysis included the following characteristics of the probands: age at first episode, number of episodes, psychopathological subtypes (affective, schizophrenic, undifferentiated: manic, non-manic). None of these criteria proved to distinguish subgroups significantly, therefore, the search for heterogeneity was negative, although some results show a trend to the expected direction.

摘要

对150例分裂情感性障碍先证者及其1029名一级亲属进行了检查,以寻找该疾病的异质性。先证者样本根据多个标准进行了划分。在各个亚组中,分析亲属的发病风险作为异质性的外部标准。女性亲属患情感障碍的风险高于男性亲属。这在男性和女性索引患者的亲属中均成立。精神分裂症在男性和女性亲属中发病率相同。分裂情感性精神病处于中间位置。进一步的分析包括先证者的以下特征:首次发病年龄、发作次数、精神病理亚型(情感性、精神分裂症性、未分化型:躁狂型、非躁狂型)。这些标准均未被证明能显著区分亚组,因此,尽管一些结果显示出朝着预期方向的趋势,但对异质性的寻找结果为阴性。

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