Bergem A L, Dahl A A, Guldberg C, Hansen H
Department of Psychiatry, University of Oslo, Norway.
Br J Psychiatry. 1990 Sep;157:351-4. doi: 10.1192/bjp.157.3.351.
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.
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。