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青少年精神分裂症——一项随访研究

[Schizophrenia in adolescents--a follow-up study].

作者信息

Krausz M

机构信息

Universitätskrankenhaus Eppendorf, Psychiatrische, Klinik, Hamburg.

出版信息

Psychiatr Prax. 1990 May;17(3):107-14.

PMID:1974076
Abstract

The article presents the results of a catamnesis of patients (both female and male) who had been in-patients for the first time between 1972 and 1978 because of signs and symptoms of schizophrenic diseases and who were between 14 and 18 years of age. For 51 patients data were available on long-term follow-up for at least 5 years. Compared with the available catamneses of adults of the 'seventies, the proportion of chronic cases is greater among the adolescents. The patterns of signs and symptoms do not differ significantly from each other. In addition, it was found that the treatment chain had many weak links despite an improvement due to the setting up of child psychiatry and juvenile psychiatric wards; in other words, treatment was mostly discontinuous and not adapted to long-term course of the disease.

摘要

本文呈现了1972年至1978年间因精神分裂症疾病的体征和症状首次住院、年龄在14至18岁之间的患者(包括女性和男性)的随访结果。有51例患者有至少5年的长期随访数据。与20世纪70年代成年人的现有随访情况相比,青少年中慢性病患者的比例更高。体征和症状模式彼此之间没有显著差异。此外,还发现尽管由于儿童精神病学和青少年精神科病房的设立有所改善,但治疗链仍存在许多薄弱环节;换句话说,治疗大多是不连续的,且不适应疾病的长期病程。

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