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精神病性障碍、情感障碍和器质性障碍患者紧张症症状特征的比较研究。

Comparative study of symptom profile of catatonia in patients with psychotic disorders, affective disorders and organic disorders.

机构信息

PGIMER, Department of Psychiatry, 160012, Chandigarh, India.

PGIMER, Department of Psychiatry, 160012, Chandigarh, India.

出版信息

Asian J Psychiatr. 2019 Jun;43:170-176. doi: 10.1016/j.ajp.2019.05.024. Epub 2019 Jun 5.

Abstract

AIM

To compare the symptom profile of catatonia among patients with affective, psychotic and organic disorders.

METHODOLOGY

A 46 item catatonia rating scale prepared by combining items from 3 catatonia rating scales, i.e., Bush Francis Catatonia Rating Scale(BFCRS), North off catatonia rating scale and Catatonia rating scale was used.

RESULTS

Study included 53, 45 and 42 patients with psychotic disorders, affective disorders and organic catatonia respectively. No significant difference was seen in the prevalence and severity of various catatonic symptoms between patients with psychotic and affective disorders. Compared to participants in the organicity group, participants in the psychotic group had significantly higher prevalence and severity of posturing. There was no difference in the affective and organicity group in terms of frequency and severity of catatonic symptoms.

CONCLUSIONS

Patients with organic catatonia do not differ from those with catatonia due to affective and psychotic disorders in terms of prevalence and severity of signs and symptoms of catatonia except for posturing. The present study suggests that catatonic symptoms in patients with various disorders are not just limited to BFCRS and extend beyond the same.

摘要

目的

比较情感障碍、精神病性障碍和器质性障碍患者的紧张症症状特征。

方法

采用由布什-弗朗西斯紧张症评定量表(BFCRS)、诺思紧张症评定量表和紧张症评定量表中的 3 个项目组合而成的 46 项紧张症评定量表。

结果

本研究共纳入精神病性障碍患者 53 例、情感障碍患者 45 例和器质性紧张症患者 42 例。精神病性障碍和情感障碍患者的各种紧张症症状的发生率和严重程度无显著差异。与器质性障碍组相比,精神病性障碍组的姿势异常发生率和严重程度更高。在紧张症症状的频率和严重程度方面,情感障碍组和器质性障碍组无差异。

结论

除姿势异常外,器质性紧张症患者与情感障碍和精神病性障碍所致紧张症患者在紧张症的发生率和严重程度方面并无差异。本研究提示,不同障碍患者的紧张症症状不仅局限于 BFCRS,而且还超出了该量表的范围。

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