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[对1954年首次住院并接受电休克治疗的精神分裂症患者的随访]

[Follow-up of schizophrenic patients hospitalized for the first time in 1954 and treated with electroconvulsive therapy].

作者信息

Lingg A, Haller R

机构信息

Abteilung II, Landesnervenkrankenhaus Valduna, Rankweil.

出版信息

Psychiatr Prax. 1987 Nov;14(6):207-11.

PMID:3423154
Abstract

37 of 43 patients who had been hospitalised because of schizophrenia for the first time in 1954 and subjected to electroconvulsive treatment in the same year, were reexamined 30 years later in respect of course of the disease, social situation, psychopathological pattern and late complications. Whereas in 1954 the direct treatment result was assessed as full remission in 11 cases, as part remission in 16 and as not improved in 10 patients, a similar pattern was obtained in the assessment of the final stages according to the criteria of Bleuler or Ciompi, respectively, namely, a high proportion of socially inconspicuous patients and of severe residual states or permanently hospitalised cases. This result is in agreement with wellknown long-term follow-up studies and is clearly opposed to the assumption that the course of the disease is favourably influenced by drastic shock treatment.

摘要

1954年首次因精神分裂症住院并于同年接受电休克治疗的43例患者中,37例在30年后就疾病进程、社会状况、精神病理模式及晚期并发症方面接受了复查。1954年时,直接治疗结果评估为11例完全缓解,16例部分缓解,10例未改善,而根据布鲁勒或乔姆皮的标准对最终阶段进行评估时,得到了类似的模式,即社会上不显眼的患者以及严重残留状态或长期住院病例的比例很高。这一结果与著名的长期随访研究一致,且明显与疾病进程会受到剧烈休克治疗的有利影响这一假设相悖。

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