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[儿童期以情感障碍为主的内源性疾病的临床预后问题]

[Problems of clinical prognosis in endogenous diseases with predominant affective disorders in childhood].

作者信息

Iovchuk N M

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(8):52-6.

PMID:2175124
Abstract

Based on a ++clinico-statistical analysis of patients (n-159) with cyclothymia and schizophrenia with predominant affective symptomatology who fell ill in childhood and were followed up for 5 to 18 years the main tendencies of the disease course and different patterns of the personality dynamics were discovered, correlating with a number of the premorbid characteristics and the structure of the first attack. The mathematic treatment using the Boolean model enabled one to obtain a prognostic model which may form the basis for the expert system to objectively evaluate, specify and accelerate the process of individual forecasting in the endogenous affective syndromes in childhood. The author provides evidence for relativity of the alternative importance of the clinical signs whose genuine prognostic weight only becomes known in diverse combinations with the other signs.

摘要

基于对159例儿童期发病并随访5至18年的环性心境障碍和以情感症状为主的精神分裂症患者的临床统计学分析,发现了疾病进程的主要趋势和人格动力学的不同模式,这些与许多病前特征和首次发作的结构相关。使用布尔模型进行数学处理,能够获得一个预后模型,该模型可为专家系统提供基础,以便客观评估、明确并加速儿童期内源性情感综合征的个体预测过程。作者提供了临床体征替代重要性的相对性证据,其真正的预后权重只有在与其他体征的不同组合中才会知晓。

相似文献

1
[Problems of clinical prognosis in endogenous diseases with predominant affective disorders in childhood].[儿童期以情感障碍为主的内源性疾病的临床预后问题]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(8):52-6.
2
[Characteristics of the course of cyclothymia-like schizophrenia in puberty].
Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(10):1539-43.
3
[Prognosis of a favorable outcome in juvenile slowly progressing neurosis-like schizophrenia based on catamnestic data].
Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(3):86-93.
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Antecedents of severe affective (mood) disorders. Patients examined as children or adolescents and as adults.
Acta Paedopsychiatr. 1993;56(1):11-8.
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[Features of the clinical picture and dynamics of endogenous depression developing in adolescence (clinico-catamnestic study)].[青少年内源性抑郁症的临床症状特点及病情发展动态(临床随访研究)]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(10):1551-6.
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[Classification of the course of childhood schizophrenia in the light of long-term follow-up].[基于长期随访的儿童精神分裂症病程分类]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1989;89(8):69-75.
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Dissociative experiences differentiate bipolar-II from unipolar depressed patients: the mediating role of cyclothymia and the Type A behaviour speed and impatience subscale.分离体验可区分双相 II 型障碍患者与单相抑郁患者:环性心境障碍以及 A 型行为的速度和不耐烦分量表的中介作用。
J Affect Disord. 2008 Jun;108(3):207-16. doi: 10.1016/j.jad.2007.10.018. Epub 2008 Feb 20.
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A study of affective temperaments in Hungary: internal consistency and concurrent validity of the TEMPS-A against the TCI and NEO-PI-R.匈牙利情感气质的一项研究:TEMPS-A相对于TCI和NEO-PI-R的内部一致性和同时效度。
J Affect Disord. 2008 Feb;106(1-2):45-53. doi: 10.1016/j.jad.2007.03.016. Epub 2007 Aug 15.
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[Latent endogenous depressions. II. Clinical systematics].[潜在内源性抑郁症。II. 临床分类学]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1978;78(8):1202-8.
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[Endogenous depression in children].[儿童内源性抑郁症]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1983;83(10):1518-22.

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