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超高危人群中自闭症谱系障碍的症状表现:一项初步报告。

Autistic symptomatology in UHR patients: A preliminary report.

机构信息

Unit of Neurology, Neurophysiology, Neurobiology and Psychiatry, Department of Medicine, University Campus Bio-Medico of Rome, via Álvaro del Portillo, 21, 00128 Rome, Italy.

Unit of Neurology, Neurophysiology, Neurobiology and Psychiatry, Department of Medicine, University Campus Bio-Medico of Rome, via Álvaro del Portillo, 21, 00128 Rome, Italy.

出版信息

Psychiatry Res. 2022 Jul;313:114634. doi: 10.1016/j.psychres.2022.114634. Epub 2022 May 14.

DOI:10.1016/j.psychres.2022.114634
PMID:35617823
Abstract

Several studies have evaluated the level of autistic symptomatology in schizophrenia patients (SCZ) and ultra-high risk for psychosis (UHR) patients, but the data are not conclusive. Using the PANSS Autism Severity Score (PAUSS) scale, we found that the degree of autistic symptomatology in UHR patients is significantly lower compared to SCZ patients but higher than in patients with a mood disorder. Moreover, we found a significant correlation between autistic symptomatology and the severity of formal thought disorders, confirming Bleuler's hypothesis about autism and association disorders as core features of psychosis.

摘要

几项研究评估了精神分裂症患者(SCZ)和精神病超高风险(UHR)患者的自闭症症状水平,但数据尚无定论。使用 PANSS 自闭症严重程度评分(PAUSS)量表,我们发现 UHR 患者的自闭症症状程度明显低于 SCZ 患者,但高于心境障碍患者。此外,我们发现自闭症症状与形式思维障碍严重程度之间存在显著相关性,证实了 Bleuler 关于自闭症和联想障碍是精神病核心特征的假说。

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引用本文的文献

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Targeting Psychotic and Cognitive Dimensions in Clinical High Risk for Psychosis (CHR-P): A Narrative Review.针对临床高危精神病性障碍(CHR-P)中的精神病性和认知维度:一项叙述性综述
J Clin Med. 2025 Aug 1;14(15):5432. doi: 10.3390/jcm14155432.
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What autism features in first episode psychosis? Results from a 2-year follow-up study.首发精神病中的孤独症特征有哪些?一项为期两年的随访研究结果。
Eur Arch Psychiatry Clin Neurosci. 2025 Mar 5. doi: 10.1007/s00406-025-01986-1.
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A Tale of Three Spectra: Basic Symptoms in Clinical-High-Risk of Psychosis Vary Across Autism Spectrum Disorder, Schizotypal Personality Disorder, and Borderline Personality Disorder.
三个谱系的故事:自闭症谱系障碍、分裂型人格障碍和边缘型人格障碍中,临床高危精神病的基本症状各不相同。
Schizophr Bull Open. 2024 Jul 27;5(1):sgae017. doi: 10.1093/schizbullopen/sgae017. eCollection 2024 Jan.