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[阵发性精神自主神经紊乱的精神病理结构及其在不同形式神经症和抑郁症鉴别诊断及预后中的重要性]

[The psychopathological structure of paroxysmal psychoautonomic disturbances and its importance for the differential diagnosis and prognosis of different forms of neuroses and depressions].

作者信息

Pankova O F, Suvorov A K

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(5):64-9.

PMID:2168633
Abstract

The psychopathological structure of vegetative paroxysms was studied in different patterns of neuroses (120 cases), endogenous depressions and organic CNS lesions (160 cases). Four types of paroxysms were distinguished depending on the predominance of the definite register of disorders: (1) simple vegetative paroxysms (crises) with the predominance of the vegetative manifestations proper, characteristic for organic CNS lesions and somatogenic; (2) vegetoaffective paroxysms including the vegetative manifestations proper and psychopathological manifestations closely related to the patients' personality and the influence of external factors, characteristic for neurotic disorders; (3) affective-vegetative paroxysms (raptoid conditions) as a unified psychosomatic complex including the protopathic affect of fear, impairment of the general feeling and vegetative functional abnormalities characteristic for MDP and schizophrenia; (4) depersonalization raptuses based on the deranged self-consciousness in the form of different types of depersonalization characteristic primarily for schizophrenia.

摘要

研究了不同类型神经症(120例)、内源性抑郁症和中枢神经系统器质性病变(160例)中植物神经发作的心理病理结构。根据特定紊乱指标的优势区分出四种发作类型:(1)单纯植物神经发作(危象),以植物神经表现为主,是中枢神经系统器质性病变和躯体源性病变的特征;(2)植物神经情感性发作,包括植物神经表现以及与患者个性和外部因素影响密切相关的心理病理表现,是神经症性障碍的特征;(3)情感性植物神经发作(类木僵状态),作为一种统一的心身复合体,包括恐惧的原始情感、一般感觉障碍以及躁狂抑郁症和精神分裂症特有的植物神经功能异常;(4)人格解体发作,基于不同类型人格解体形式的自我意识紊乱,主要是精神分裂症的特征。

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