Kumar S, Thara R, Rajkumar S
Schizophrenia Research Foundation, Madras, India.
Eur Arch Psychiatry Neurol Sci. 1989;239(3):213-5. doi: 10.1007/BF01739656.
A pilot study is reported of 30 chronic schizophrenic patients at the psychiatric out-patient facility of Government General Hospital, Madras, India. The objectives of the study were to assess the patients' perception of prodromata of relapse and their coping mechanisms. Patients were questioned on these aspects, using a semi-structured interview guide. The study showed a high degree of perception of prodromal signs amongst the cohort. Only 4 patients were unable to perceive any prodromata of relapse. Most commonly noted prodromal symptoms were disturbed sleep and slowness and underactivity. Patients had also resorted to various coping measures such as internal dialogue and talking to a close relative or friend. The study has clearly proved that Indian schizophrenic patients are perceptive of prodromata of relapse and developed self-help methods. These methods, if properly identified, could be incorporated in psychosocial intervention programmes.
本文报告了一项针对印度马德拉斯政府总医院精神科门诊30名慢性精神分裂症患者的初步研究。该研究的目的是评估患者对复发前驱症状的感知及其应对机制。使用半结构化访谈指南就这些方面对患者进行了询问。研究表明，该队列患者对前驱症状有高度的感知。只有4名患者无法感知任何复发的前驱症状。最常被注意到的前驱症状是睡眠障碍、迟缓及活动减少。患者还采取了各种应对措施，如内心对话以及与近亲或朋友交谈。该研究清楚地证明，印度精神分裂症患者能够感知复发的前驱症状并形成了自助方法。如果能正确识别这些方法，就可以将其纳入社会心理干预项目中。
