Riecher-Rössler Anita
Psychiatrische Poliklinik, Universitätsspital Basel.
Ther Umsch. 2007 Jun;64(6):337-43. doi: 10.1024/0040-5930.64.6.337.
The early detection and treatment of schizophrenic psychoses is of decisive importance in order to improve the course of this disorder, which so far often is a chronic one leading to early invalidity. Women on average fall ill about 4-5 years later than men, often even only after the 40th year of life. These "late onset schizophrenias", which account for as much as 20% of all schizophrenias, should not be overlooked. Prodromi and other early signs of the disorder are very similar in women and men as is the delay of diagnosis and therapy. Due to the fact that women get the disorder only at a higher age, they are usually already much better established regarding their different social roles. However there obviously is a danger to neglect professional (re-)integration in women. Early detection, early intervention and early rehabilitation therefore should also be gender sensitive.
为改善精神分裂症的病程，早期发现和治疗该疾病具有决定性意义，因为迄今为止，精神分裂症往往是一种导致过早残疾的慢性疾病。女性平均比男性晚发病约4至5年，通常甚至在40岁以后才发病。这些“晚发性精神分裂症”占所有精神分裂症的20%，不应被忽视。该疾病的前驱症状和其他早期迹象在女性和男性中非常相似，诊断和治疗的延迟情况也是如此。由于女性在较高年龄才患上该疾病，她们在不同社会角色方面通常已经更加稳固。然而，显然女性存在忽视职业（重新）融入的风险。因此，早期发现、早期干预和早期康复也应具有性别敏感性。
