Peralta V, Cuesta M J
Unit of Psychiatry, Virgen del Camino Hospital, Pamplona, Spain.
Psychopathology. 1991;24(3):151-7. doi: 10.1159/000284708.
Using the 'polydiagnostic approach' method, the relationship between basic symptoms (BS) and Bleulerian and Schneiderian types of schizophrenia is studied. Eighty-six schizophrenic patients (RDC criteria) were studied using the Frankfurt Complaint Questionnaire for the evaluation of the BS. The patients were classified according to the type of symptoms predominant in Schneiderian (n = 32), Bleulerian (n = 12) and mixed (n = 42) schizophrenics. The patients with Schneiderian and mixed schizophrenia displayed more BS than those having Bleulerian schizophrenia. Significant differences (p less than or equal to 0.05) were found on the subscales of Perception (simple), Language, Memory, Motoric and Loss of automatism, in factors 1, 2 and 4, and in the total score. The results suggest that, from the perspective of the BS, Schneiderian schizophrenia is different from Bleulerian and that the BS may have the same production mechanisms as Schneider's FRS, the difference between them being in the different degree of phenomenological expression.
采用“多诊断方法”,研究了基本症状(BS)与精神分裂症的布鲁勒型和施奈德型之间的关系。使用法兰克福主诉问卷对86例精神分裂症患者(符合研究诊断标准委员会标准)进行基本症状评估。根据施奈德型(n = 32)、布鲁勒型(n = 12)和混合型(n = 42)精神分裂症患者中占主导的症状类型对患者进行分类。与布鲁勒型精神分裂症患者相比,施奈德型和混合型精神分裂症患者表现出更多的基本症状。在感知(简单)、语言、记忆、运动及自动化丧失分量表上,在因素1、2和4以及总分上发现了显著差异(p≤0.05)。结果表明,从基本症状的角度来看,施奈德型精神分裂症与布鲁勒型不同,且基本症状可能与施奈德的一级症状有相同的产生机制,它们之间的差异在于现象学表达程度不同。