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符合精神分裂症前驱期标准患者的共病诊断

Comorbid diagnoses in patients meeting criteria for the schizophrenia prodrome.

作者信息

Rosen Joanna L, Miller Tandy J, D'Andrea Jennifer T, McGlashan Thomas H, Woods Scott W

机构信息

Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06520-8098, USA.

出版信息

Schizophr Res. 2006 Jul;85(1-3):124-31. doi: 10.1016/j.schres.2006.03.034. Epub 2006 May 2.

Abstract

While schizophrenia is often associated with a variety of concurrent psychiatric symptoms, little attention has been paid to the prevalence of psychiatric comorbidity in prodromal patients. The current study examines the presence of comorbid current and lifetime psychiatric conditions in prospectively identified prodromal patients. The results suggest that like their schizophrenic counterparts, prodromal patients experience a wide array of comorbid psychiatric syndromes, with the most common being Major Depressive Disorder and Cannabis Dependence. Results also suggest that Cannabis Dependence may be more common among prodromal versus help-seeking control patients. These findings lay the groundwork for further examination of the role that comorbid conditions play in the development, course, and severity of schizophrenia.

摘要

虽然精神分裂症常常与各种并发的精神症状相关,但前驱期患者中精神疾病共病的患病率却很少受到关注。本研究调查了前瞻性识别出的前驱期患者中当前和终生共病精神疾病的情况。结果表明,与精神分裂症患者一样,前驱期患者也会经历各种各样的共病精神综合征,其中最常见的是重度抑郁症和大麻依赖。结果还表明,与寻求帮助的对照患者相比,大麻依赖在前驱期患者中可能更为常见。这些发现为进一步研究共病状况在精神分裂症的发生、病程和严重程度中所起的作用奠定了基础。

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