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主观症状:精神分裂症阴性症状的一部分?

Subjective symptoms: part of the negative syndrome of schizophrenia?

作者信息

Bitter I, Jaeger J, Agdeppa J, Volavka J

出版信息

Psychopharmacol Bull. 1989;25(2):180-4.

PMID:2574892
Abstract

We present the psychometric and clinical psychopathological properties of the SDSS for the assessment of subjective symptoms as applied to various schizophrenic samples. The subjective deficit syndrome has not been obvious to most investigators, in part because the currently available scales, even those assessing negative symptoms, were not designed to capture it. While the subjective deficit syndrome is not specific to schizophrenia, it may explain what is widely observed as a major public health problem, namely, that officially "remitted" patients continue to fail in social and occupational functioning. The understanding of this syndrome is a prerequisite for better management of these remitted schizophrenic outpatients. Future longitudinal studies including outpatients are needed to address these issues further.

摘要

我们展示了用于评估主观症状的社会功能缺陷筛选量表(SDSS)在各类精神分裂症样本中的心理测量学和临床精神病理学特性。大多数研究者并未明显发现主观缺陷综合征,部分原因在于现有的量表,即使是那些评估阴性症状的量表,也并非为捕捉该综合征而设计。虽然主观缺陷综合征并非精神分裂症所特有,但它或许可以解释一个被广泛视为主要公共卫生问题的现象,即官方认定“已缓解”的患者在社会和职业功能方面仍然存在障碍。理解这一综合征是更好地管理这些已缓解的精神分裂症门诊患者的前提条件。未来需要开展包括门诊患者在内的纵向研究,以进一步解决这些问题。

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引用本文的文献

1
Abnormal subjective experiences in schizophrenia: its relationships with neuropsychological disturbances and frontal signs.精神分裂症中的异常主观体验:其与神经心理障碍及额叶体征的关系。
Eur Arch Psychiatry Clin Neurosci. 1996;246(2):101-5. doi: 10.1007/BF02274900.
2
Negative symptoms, defect state and Huber's basic symptoms: a comparison of the concepts.阴性症状、缺陷状态与胡贝尔基本症状:概念比较
Psychiatr Q. 1991 Winter;62(4):277-98. doi: 10.1007/BF01958797.