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运动障碍与发育性精神病风险:连接点与缩小病理生理学差距。

Motor Impairment and Developmental Psychotic Risk: Connecting the Dots and Narrowing the Pathophysiological Gap.

机构信息

Department of Mental Health, Reggio Emilia Local Health Trust, Reggio Emilia, Italy.

Cmed Polyspecialistic Diagnostic and Therapeutic Centre, Rome, Italy.

出版信息

Schizophr Bull. 2019 Apr 25;45(3):503-508. doi: 10.1093/schbul/sby100.

Abstract

The motor system in its manifold articulations is receiving increasing clinical and research attention. This is because motor impairments constitute a central, expressive component of the mental state examination and a key transdiagnostic feature indexing disease severity. Furthermore, within the schizophrenia spectrum, the integration of neurophysiological, developmental, and phenomenological perspectives suggests that motor impairment is not simply a generic, extrinsic proxy of an altered neurodevelopment, but might be more intimately related to psychotic risk. Therefore, an increased understanding, conceptualization, and knowledge of such motor system and its anomalies could empower contemporary risk prediction and diagnostic procedures.

摘要

运动系统的多种关节正在受到越来越多的临床和研究关注。这是因为运动障碍构成了精神状态检查的一个核心表达成分,也是索引疾病严重程度的一个关键跨诊断特征。此外,在精神分裂症谱系中,神经生理学、发育和现象学观点的整合表明,运动障碍不仅仅是神经发育改变的一般外在表现,而可能与精神病风险更为密切相关。因此,对运动系统及其异常的更多理解、概念化和认识,可以增强当代风险预测和诊断程序的能力。

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