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精神分裂症中的惊恐症状:共病情况及临床关联

Panic symptoms in schizophrenia: comorbidity and clinical correlates.

作者信息

Ulas Halis, Alptekin Koksal, Akdede Berna Binnur, Tumuklu Mevhibe, Akvardar Yildiz, Kitis Arzu, Polat Selma

机构信息

Department of Psychiatry, Medical School of Dokuz Eylül University, Izmir, Turkey.

出版信息

Psychiatry Clin Neurosci. 2007 Dec;61(6):678-80. doi: 10.1111/j.1440-1819.2007.01724.x.

Abstract

The aim of the present study was to investigate the prevalence of panic attack (PA) and panic disorder (PD) in patients with schizophrenia and detect the clinical features. Forty-nine patients with schizophrenia were included in the study. Positive and Negative Syndrome Scale (PANSS), Hamilton Depression Rating Scale (HDRS), Clinical Global Impression (CGI), Extrapyramidal Symptom Rating Scale (ESRS) and Bandelow Panic and Agoraphobia Rating Scale were administered. Fifteen patients were found to have PA and seven patients had PD. Patients with panic symptoms had higher scores of PANSS, HDRS, CGI and ESRS. Comorbid panic symptoms in schizophrenia may be related to positive symptoms, extrapyramidal side-effects and depression.

摘要

本研究的目的是调查精神分裂症患者中惊恐发作(PA)和惊恐障碍(PD)的患病率,并检测其临床特征。49例精神分裂症患者纳入本研究。采用阳性与阴性症状量表(PANSS)、汉密尔顿抑郁量表(HDRS)、临床总体印象量表(CGI)、锥体外系症状评定量表(ESRS)以及班德洛惊恐和广场恐怖评定量表进行评估。发现15例患者有惊恐发作,7例患者有惊恐障碍。有惊恐症状的患者在PANSS、HDRS、CGI和ESRS上得分更高。精神分裂症合并惊恐症状可能与阳性症状、锥体外系副作用及抑郁有关。

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