Alekseev A V, Shmilovich A A
Zh Nevrol Psikhiatr Im S S Korsakova. 2008;108(8):4-9.
Seventy-four patients with schizoaffective disorder caused by psychic trauma (a basic group) and 51 patients with spontaneous manifestation of this disorder (a comparison group) have been studied. The prevalence of personality traits of inhibited spectrum with predisposition to affective disorders and psychogenic reactions were observed in the patients of the basic group. Situations of emotional deprivation were the most frequent content of mental stress. The psychic trauma exerts a provoking, pathoplastic and pathokinetic effect in schizoaffective disorder. Three variants of the course of schizoaffective disorder after emotional stress have been singled out: with psychogenic neurotic manifestation, with psychogenic psychotic manifestation (psychogenic reactive depression type) and with endogenous manifestation.
对74例由精神创伤引起的分裂情感性障碍患者（基础组）和51例该障碍自发表现的患者（对照组）进行了研究。在基础组患者中观察到具有情感障碍和心因性反应倾向的抑制谱人格特质的普遍性。情感剥夺情况是精神应激最常见的内容。精神创伤在分裂情感性障碍中具有激发、病理塑形和病理动力学作用。已区分出情感应激后分裂情感性障碍病程的三种变体：心因性神经症表现型、心因性精神病表现型（心因性反应性抑郁型）和内源性表现型。
