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五十年后的朗费尔特精神分裂症样精神病

Langfeldt's schizophreniform psychoses fifty years later.

作者信息

Bergem A L, Dahl A A, Guldberg C, Hansen H

机构信息

Department of Psychiatry, University of Oslo, Norway.

出版信息

Br J Psychiatry. 1990 Sep;157:351-4. doi: 10.1192/bjp.157.3.351.

Abstract

As a result of follow-up studies published in 1937 and 1939, Langfeldt divided schizophrenia into two groups; 'typical schizophrenia' which had a poor outcome, and the 'schizophreniform psychoses' which had a less typical clinical picture of schizophrenia and a good outcome. Langfeldt's cases of schizophreniform psychoses were reclassified according to the ICD-9 and DSM-III-R diagnostic systems. Most of the schizophreniform psychoses did not appear 'schizophrenia-like' at all, but turned out to be mainly affective disorders. Those included in Langfeldt's diagnosis of 'schizophreniform psychoses' were found to be too heterogenous to validate the existence of this syndrome.

摘要

根据1937年和1939年发表的随访研究结果,朗费尔特将精神分裂症分为两组:预后较差的“典型精神分裂症”,以及临床表现不太典型但预后良好的“精神分裂症样精神病”。朗费尔特诊断的精神分裂症样精神病病例根据国际疾病分类第九版(ICD - 9)和精神疾病诊断与统计手册第三版修订本(DSM - III - R)诊断系统进行了重新分类。大多数精神分裂症样精神病根本没有表现出“精神分裂症样”症状,结果发现主要是情感障碍。结果发现,朗费尔特诊断为“精神分裂症样精神病”的病例过于异质,无法证实该综合征的存在。

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