Seeman M V
Acta Psychiatr Scand. 1986 Jun;73(6):609-17. doi: 10.1111/j.1600-0447.1986.tb02732.x.
This article reviews the 1980's literature on gender differences in schizophrenia outcome. Neuroleptic response, long-term course, and housing, appear to be superior in women. Mortality ratios are advantageous to schizophrenic men. After menopause, women may require higher neuroleptic doses than men and are more at risk for severe tardive dyskinesia. The antidopaminergic effects of estrogens appear to be responsible for some of the outcome differences.
本文回顾了20世纪80年代关于精神分裂症预后性别差异的文献。抗精神病药物反应、长期病程和住房情况在女性中似乎更优。死亡率对男性精神分裂症患者不利。绝经后,女性可能比男性需要更高剂量的抗精神病药物,且患严重迟发性运动障碍的风险更高。雌激素的抗多巴胺能作用似乎是导致某些预后差异的原因。