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[创伤性心理情境下阵发性进行性精神分裂症患者的情感障碍]

[Affective disorders in patients with paroxysmally progressive schizophrenia in a psychotraumatic situation].

作者信息

Il'inskiĭ Iu A, Gorionov V V, Zavidovskaia G I, Kadina T I

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(1):77-82.

PMID:3364103
Abstract

Affective disorders associated with a psycho-traumatizing situation have been studied in 82 patients with attack-type progressive schizophrenia undergoing inpatient forensic psychiatric examination at the All-Union Research Institute of General and Forensic Psychiatry. The results have shown that patients with attack-type progressive schizophrenia present in this situation affective disorders varying in depth and clinical characteristics which mask endogenic symptomatology and hinder forensic psychiatric assessment of these states in some cases. The following abnormalities have been defined as a result of the study: reactive conditions (psychogenic affective responses and reactive psychoses), psychogenic exacerbations of schizophrenia with such predominant clinical manifestations as affective disorders and attacks of schizophrenia taking the course of phase-affective conditions.

摘要

全苏普通和法医精神病学研究所对82例患有发作型进行性精神分裂症且正在接受住院法医精神病检查的患者,研究了与精神创伤情况相关的情感障碍。结果表明,患有发作型进行性精神分裂症的患者在这种情况下存在深度和临床特征各异的情感障碍,这些障碍掩盖了内源性症状,在某些情况下妨碍了对这些状态的法医精神病学评估。研究结果确定了以下异常情况:反应性状况(心因性情感反应和反应性精神病)、以情感障碍等为主要临床表现的心因性精神分裂症加重以及呈阶段性情感状况病程的精神分裂症发作。

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