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[强迫症患者的既往史及精神病理学研究]

[Anamnestic and psychopathologic studies of obsessive-compulsive patients].

作者信息

Stieglitz R D, Heim G, Langer C

机构信息

Psychiatrische Klinik der Freien Universität Berlin.

出版信息

Fortschr Neurol Psychiatr. 1989 Apr;57(4):132-41. doi: 10.1055/s-2007-1000754.

Abstract

Twenty-eight patients, that is 0.8% of all 3,225 patients admitted between 1981 and 1986 in the Free University of Berlin, Department of Psychiatry, had a primary diagnosis of obsessive-compulsive disorder (ICD-9: 300.3). These patients were compared with random samples of equal size (N = 28) of schizophrenic psychoses paranoid type (ICD 295.3), manic depressive psychoses depressed type (ICD 296.1) and neurotic depressions (ICD 300.4) using an AMDP-based multiaxial diagnostic description. It turned out, that although obsessive-compulsive patients were best discriminated from the other clinical groups by their typical symptoms, they were characterized likewise by other psychopathological, especially depressive symptoms. In view of the course of obsessive-compulsive disorder, the findings were compatible with those of other reports. Beyond it, a subgroup of patients with relatively unfavourable course could be described by AMPD-items.

摘要

1981年至1986年间,柏林自由大学精神病学系收治的3225例患者中,有28例(占0.8%)被初步诊断为强迫症(国际疾病分类第九版:300.3)。使用基于AMDP的多轴诊断描述,将这些患者与偏执型精神分裂症(国际疾病分类295.3)、抑郁型躁狂抑郁症(国际疾病分类296.1)和神经症性抑郁症(国际疾病分类300.4)的同等规模随机样本(N = 28)进行比较。结果发现,尽管强迫症患者通过其典型症状最容易与其他临床组区分开来,但他们同样具有其他精神病理学特征,尤其是抑郁症状。鉴于强迫症的病程,这些发现与其他报告的结果一致。此外,AMDP项目可以描述一组病程相对不利的患者亚组。

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