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暴力型精神分裂症住院患者的神经功能损害

Neurological impairment in violent schizophrenic inpatients.

作者信息

Krakowski M I, Convit A, Jaeger J, Lin S, Volavka J

机构信息

Manhattan Psychiatric Center, New York.

出版信息

Am J Psychiatry. 1989 Jul;146(7):849-53. doi: 10.1176/ajp.146.7.849.

Abstract

This study relates violent behavior of schizophrenic inpatients to demographic, historical, EEG, neurological, and neuropsychological variables. Patients were classified into high (N = 28), low (N = 27), or no (N = 34) violence groups. There were no significant differences among the groups on demographic or historical variables, except for prevalence of violent crime, which was higher in both violent groups than in nonviolent patients. Neurological and neuropsychological abnormalities differentiated the groups, with the high violence group evidencing more abnormalities than the other two groups in the area of integrative sensory and motor functions. The authors suggest that violence as well as neurological and neuropsychological deficits may characterize a more severe form of schizophrenia.

摘要

本研究将精神分裂症住院患者的暴力行为与人口统计学、病史、脑电图、神经学和神经心理学变量相关联。患者被分为高暴力组(N = 28)、低暴力组(N = 27)或无暴力组(N = 34)。在人口统计学或病史变量方面,各组之间没有显著差异,但暴力犯罪的发生率除外,两个暴力组的发生率均高于非暴力患者。神经学和神经心理学异常区分了这些组,高暴力组在综合感觉和运动功能方面的异常比其他两组更多。作者认为,暴力行为以及神经学和神经心理学缺陷可能是精神分裂症更严重形式的特征。

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