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阵发性精神分裂症的个体长期社会和工作能力预后(分类标准和结构的信息价值)

[Individual long-term social and work capacity prognosis in paroxysmal schizophrenia (informative value of the criteria and structure of classification)].

作者信息

Anashkina L M

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1989;89(10):86-91.

PMID:2618241
Abstract

A clinico-epidemiologic research method combined with a multi-dimensional analysis was applied in patients suffering from attack-like schizophrenia. This made it possible to distinguish the most informative criteria for a long-term social and work fitness prognosis: premorbid adaptation, age by the disease onset, duration of the initial period, the first remission syndrome, the intensity of negative disturbances occurring in the course of the first remission, duration of the first remission, exogenous injuries in the premorbid and in the pre-manifest++ periods of psychosis. The prognosis classifier developed with regard to the above criteria provides a correct forecasting of the social and work fitness status of patients in 81.19% of cases (when patients are attributed to the favourable prognosis group) and in 69.64% of cases (when patients are attributed to the unfavourable prognosis group).

摘要

一种结合多维度分析的临床流行病学研究方法应用于患有发作样精神分裂症的患者。这使得区分长期社会和工作适应预后的最具信息性的标准成为可能:病前适应、发病年龄、初期持续时间、首次缓解综合征、首次缓解过程中出现的阴性障碍强度、首次缓解持续时间、病前及精神病前期明显期的外部损伤。根据上述标准开发的预后分类器在81.19%的病例中(当患者被归为预后良好组时)和69.64%的病例中(当患者被归为预后不良组时)能正确预测患者的社会和工作适应状况。

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