Vorontsova E A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1989;89(5):76-81.
A total of 90 patients were investigated in the general practice out-patient clinics. The patients had not been earlier studied by a psychiatrist and had unclear forms of endogenous diseases and phobic disorders: 70 patients with slow progredient schizophrenia, 20 with cyclothymia. Despite the phobic manifestations of slow progredient schizophrenia and cyclothymia being identical on the phenomenological level, their structure and time course were different. Favorable++ and unfavorable clinico-psychopathological prognostic signs were determined for each of the diseases. The principles of therapeutic and rehabilitation tactics are discussed with special reference to the patients with slow progredient schizophrenia and cyclothymia with phobic disorders in primary health care units. Out-patient group was compared to the patients of dispensary departments.
共有90名患者在普通门诊诊所接受了调查。这些患者此前未接受过精神科医生的检查,患有不明形式的内源性疾病和恐惧症:70例缓慢进展型精神分裂症患者,20例环性心境障碍患者。尽管缓慢进展型精神分裂症和环性心境障碍的恐惧表现从现象学层面来看是相同的,但其结构和病程却有所不同。确定了每种疾病的有利++和不利的临床心理病理预后指标。特别针对基层医疗单位中患有缓慢进展型精神分裂症和伴有恐惧症的环性心境障碍患者,讨论了治疗和康复策略的原则。将门诊组与药房部门的患者进行了比较。