Jönsson S A, Jonsson H, Nyman G E
Department of Psychiatry and Neurochemistry, Lund, Sweden.
Acta Psychiatr Scand. 1991 Jul;84(1):22-5. doi: 10.1111/j.1600-0447.1991.tb01415.x.
Records of all 154 psychotic patients first admitted to a psychiatric hospital in 1925 were rated according to a checklist of 33 dichotomous items expected to characterize cycloid and schizoaffective psychosis; 64 cases satisfied 5 or more items. Among them, 34 were globally judged as cycloid and showed a favourable outcome when followed up. The remaining 30 cases were used as a contrast sample, consisting of schizoaffective psychotics with an unfavourable outcome and schizophrenics and affective patients who shared some symptoms with the experiment group. Six symptoms significantly more frequent in the cycloid group were all characteristic for confusional and anxiety or happiness psychoses in the sense of Leonhard. Happiness-ecstacy and global altruism were exclusively recorded in cycloid psychosis. A discriminant analysis yielded a significant proportion of correct predictions. The result was thought to be relevant for differential therapeutic strategies.
对1925年首次住进一家精神病院的所有154名精神病患者的记录，根据一份包含33个二分项目的清单进行评分，这些项目预期可表征环性精神症和分裂情感性精神病；64例满足5项或更多项目。其中，34例被整体判定为环性精神症，随访时显示预后良好。其余30例用作对照样本，包括预后不良的分裂情感性精神病患者以及与实验组有一些共同症状的精神分裂症患者和情感障碍患者。在环性精神症组中显著更频繁出现的6种症状，从莱昂哈德的意义上来说，都是混乱、焦虑或欣快性精神病的特征。欣快-狂喜和普遍利他主义仅在环性精神症中出现。判别分析得出了显著比例的正确预测。该结果被认为与差异化治疗策略相关。
