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儿童期精神分裂症的现象学

The phenomenology of schizophrenia occurring in childhood.

作者信息

Russell A T, Bott L, Sammons C

出版信息

J Am Acad Child Adolesc Psychiatry. 1989 May;28(3):399-407. doi: 10.1097/00004583-198905000-00017.

DOI:10.1097/00004583-198905000-00017
PMID:2738007
Abstract

Thirty-five children, aged 4 to 13 (X = 9.54), meeting strict DSM-III criteria for schizophrenia, are described. The subjects were diagnosed using a new semistructured interview. All were in the normal range of intelligence (mean IQ = 94) and free of neurological disorders. Characteristic auditory hallucinations were present in 80% and delusions in 63% of the sample. The mean age of onset of psychotic symptoms was 6.9 years. Premorbid histories of attention deficit, conduct disturbance and/or developmental abnormalities were common. The nature and content of psychotic symptoms varied with developmental stage. The phenomenological presentation of the sample was similar to previous studies of young schizophrenic children.

摘要

本文描述了35名年龄在4至13岁(平均年龄9.54岁)、符合精神分裂症严格DSM-III标准的儿童。这些受试者通过一种新的半结构化访谈进行诊断。所有受试者智力均在正常范围内(平均智商=94),且无神经疾病。样本中80%出现典型的幻听,63%出现妄想。精神病性症状的平均起病年龄为6.9岁。病前注意力缺陷、品行障碍和/或发育异常的病史很常见。精神病性症状的性质和内容随发育阶段而变化。该样本的现象学表现与之前对青少年精神分裂症儿童的研究相似。

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