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[青少年复发性精神分裂症缓解期发展的临床回顾性研究]

[Clinico-catamnestic study of the development of remissions in adolescents suffering recurrent schizophrenia].

作者信息

Simashkova N V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(10):1536-40.

PMID:2866647
Abstract

The formation of remissions of recurrent schizophrenia was studied over time in 32 adolescents (12-17 years of age). Over the period of follow-up (4-8 years) the author analyzed 23 affective-oneiric and 50 affective-delirious attacks of schizophrenia and traced the history of patients at the age of 18-23 years. Following attacks of recurrent schizophrenia all patients presented a gradual formation of remissions. At the first stages continuous affective disturbances were well pronounced. In the course of their subsidence, 1.5-2 years after the end of attacks the patients were characterized by mild personality changes and a slight decrease in the energy potential as compared to its high premorbid level. A number of therapeutic-adaptational recommendations has been developed for the management of patients with recurrent schizophrenia in the period of remission formation.

摘要

对32名青少年(12 - 17岁)复发性精神分裂症缓解期的形成进行了长期研究。在随访期间(4 - 8年),作者分析了23次情感性梦幻发作和50次情感性谵妄发作的精神分裂症,并追溯了患者18 - 23岁时的病史。复发性精神分裂症发作后,所有患者均呈现出缓解期的逐渐形成。在最初阶段,持续性情感障碍非常明显。在这些症状消退过程中,发作结束后1.5 - 2年,患者表现为轻度人格改变,与病前较高水平相比,能量潜力略有下降。针对复发性精神分裂症患者缓解期形成阶段的管理,已制定了一些治疗适应性建议。

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