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[双相分裂情感性精神病的人格剖析。与双相情感性精神病的比较]

[Personality profile in bipolar schizoaffective psychoses. A comparison with bipolar affective psychoses].

作者信息

Thau K, Lenz G, Rieder N, Kubinger K, Grisar E

机构信息

Psychiatrische Universitätsklinik Wien.

出版信息

Nervenarzt. 1991 Nov;62(11):682-8.

PMID:1770968
Abstract

The aim of this study was to investigate personality profiles in patients with bipolar affective and schizoaffective disorder, classified according to ICD-9 criteria using objective psychological tests (Personal Research Form, Objective Analytical Test Battery, IPC-Query Form). The bipolar schizoaffective patients were further subtyped according to Research Diagnostic Criteria (RDC) into schizoaffective-affective and schizoaffective-schizophrenic patients. 81 patients took part in the study (29 bipolar affective and 52 bipolar schizoaffective patients; the latter were subtyped into 23 schizoaffective-schizophrenic and 29 schizoaffective-affective patients). We showed that the personality profiles are quite similar in schizoaffective-affective and schizoaffective-schizophrenic patients if compared to purely affective patients. But indeed there are pronounced differences between the schizoaffective-affective and the schizoaffective-schizophrenic subtypes, so that subtyping schizoaffective disorder like done in Research Diagnostic Criteria (RDC) seems to show that schizoaffective disorders are not a homogenous group.

摘要

本研究旨在通过使用客观心理测试(个人研究表、客观分析测试组、IPC查询表),依据国际疾病分类第九版(ICD - 9)标准,调查双相情感障碍和分裂情感性障碍患者的人格特征。双相分裂情感性障碍患者进一步根据研究诊断标准(RDC)分为分裂情感性-情感型和分裂情感性-精神分裂型患者。81名患者参与了该研究(29名双相情感障碍患者和52名双相分裂情感性障碍患者;后者又分为23名分裂情感性-精神分裂型患者和29名分裂情感性-情感型患者)。我们发现,与单纯情感障碍患者相比,分裂情感性-情感型和分裂情感性-精神分裂型患者的人格特征相当相似。但实际上,分裂情感性-情感型和分裂情感性-精神分裂型亚型之间存在显著差异,因此,如同研究诊断标准(RDC)那样对分裂情感性障碍进行亚型分类,似乎表明分裂情感性障碍并非一个同质群体。

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