Il'ina N A, Zakharova N V
Zh Nevrol Psikhiatr Im S S Korsakova. 2010;110(12):17-23.
The study sample included 32 patients with long-term remissions (from 5 to 33 years) developed after episodes of shift-like schizophrenia with catatonic disorders. All patients showed a good social and professional adjustment. This type of remissions was designated as "dyskinetic" due to the predomination of motor disturbances, microcatatonic symptoms of stupor and excitement. The diskinetic remission was characterized by stereotype urge to act, psychomotor passivity and decompensation "catatonic reactions". Two types of dyskinetic remission were singled out: hyper- and hypokinetic. Their psychopathological structure was defined by the hypersthenic defect including "the monotonous activity and the rigidity of the affect" in the first type and "irritable asthenia" in the second one. The hypothesis was developed: catatonic symptoms included to the structure of mentioned types of defect.
研究样本包括32例长期缓解(5至33年)的患者,这些缓解是在类似转换型精神分裂症伴紧张症发作后出现的。所有患者均表现出良好的社会和职业适应能力。由于运动障碍、木僵和兴奋的微紧张症状占主导,这种缓解类型被指定为“运动障碍性”。运动障碍性缓解的特征是刻板的行动冲动、精神运动性被动和失代偿“紧张症反应”。区分出两种类型的运动障碍性缓解:运动亢进型和运动减退型。它们的精神病理结构由强性缺陷定义,第一种类型包括“单调活动和情感僵化”,第二种类型包括“易激惹性虚弱”。由此提出假说:紧张症症状包含在上述类型的缺陷结构中。