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功能性精神病的分类及其对预后的影响。

The classification of functional psychoses and its implications for prognosis.

作者信息

Möller H J, Hohe-Schramm M, Cording-Tömmel C, Schmid-Bode W, Wittchen H U, Zaudig M, von Zerssen D

机构信息

Psychiatric Department, Technical University Munich, West Germany.

出版信息

Br J Psychiatry. 1989 Apr;154:467-72. doi: 10.1192/bjp.154.4.467.

Abstract

One hundred and eighty-three patients suffering from functional psychoses were diagnosed according to ICD-8, RDC, and DSM-III criteria, and the concordance rates for the diagnoses compared. The heterogeneity of the diagnosis 'schizoaffective psychosis' as defined by these systems became clear. With respect to prognosis, the DSM-III diagnosis of schizophrenia was most closely related to poor outcome. Affective psychoses and schizoaffective psychoses, as well as DSM-III 'schizophreniform disorders', demonstrated a favourable prognosis.

摘要

183例功能性精神病患者依据国际疾病分类第八版(ICD - 8)、研究用诊断标准(RDC)和精神疾病诊断与统计手册第三版(DSM - III)标准进行诊断,并比较诊断的一致性率。这些系统所定义的“分裂情感性精神病”诊断的异质性变得明显。关于预后,DSM - III对精神分裂症的诊断与不良结局关系最为密切。情感性精神病、分裂情感性精神病以及DSM - III的“精神分裂症样障碍”显示出良好的预后。

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