循环性精神病与分裂情感性精神病——不同诊断分类系统及标准的比较

Cycloid psychoses and schizoaffective psychoses--a comparison of different diagnostic classification systems and criteria.

作者信息

Zaudig M

机构信息

Max Planck Institute for Psychiatry, Inpatient Department, Munich, Germany.

出版信息

Psychopathology. 1990;23(4-6):233-42. doi: 10.1159/000284666.

DOI:10.1159/000284666

PMID:2084775

Abstract

In current psychopathological research there are at least two major groups of concepts in the field of psychoses with good prognosis: the more traditional concepts of 'bouffée délirante', cycloid psychoses and Kasanin's 'schizoaffectives'--on the other hand the modern idea of 'concurrent schizoaffective psychoses' like the operational criteria of Kendell, Welner, RDC, DSM-IIIR and ICD-10. Reviewing previous studies, 'bouffée délirante' and cycloid psychosis were found to form a homogeneous group which is very well delineated from affective and schizophrenic psychosis--to some extent also from the modern criteria of 'concurrent schizoaffective psychoses'.

摘要

在当前的精神病理学研究中，预后良好的精神病领域至少有两大组概念：较为传统的“急性妄想发作”、环性精神病以及卡萨宁的“分裂情感性精神病”概念——另一方面是“共病性分裂情感性精神病”的现代观念，如肯德尔、韦尔纳、研究用诊断标准（RDC）、《精神疾病诊断与统计手册》第三版修订本（DSM-IIIR）和《国际疾病分类》第十版（ICD-10）的操作标准。回顾以往的研究发现，“急性妄想发作”和环性精神病构成一个同质组，与情感性精神病和精神分裂症性精神病有明显区分——在一定程度上也与“共病性分裂情感性精神病”的现代标准不同。