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[精神分裂症患者残疾问题的流行病学方面(发病率、慢性病程动态、风险因素)]

[Epidemiologic aspect of the problem of the disability of schizophrenic patients (incidence, chronogenic dynamics, risk factors)].

作者信息

Shmaonova L M, Liberman Iu I, Rotshteĭn V G, Iastrebov V S

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1987;87(8):1221-8.

PMID:3673420
Abstract

Epidemiological aspects of disability have been studied in a random sample of schizophrenics living in three Moscow districts. It has been found that 39.4% of schizophrenic patients (44.2% of the patients in the productive age) are disabled due to the underlying disease. The past 20 years have seen a trend toward a decrease in the disability rate; the difference between the number of the disabled reported 20 years ago and today is 5.5%, being fully accounted for by paroxysmal forms of schizophrenia. It has been ascertained that the decision as to the patient's disability following medical examination of his or her working ability depends not only on the severity of the patient's clinical status, but also on the patient's sex. Thus, if patients with an equally grave disease are considered, women are more frequently given the status of disability which is explained by the fact that their involvement in household chores is much greater than that of males.

摘要

对居住在莫斯科三个区的精神分裂症患者随机样本进行了残疾方面的流行病学研究。结果发现,39.4%的精神分裂症患者(生产年龄患者中的44.2%)因基础疾病而残疾。过去20年出现了残疾率下降的趋势;20年前报告的残疾人数与如今的差异为5.5%,这完全是由精神分裂症的发作形式造成的。已确定,根据对患者工作能力的医学检查来决定其残疾状况,不仅取决于患者临床状况的严重程度,还取决于患者的性别。因此,在考虑患有同样严重疾病的患者时,女性更常被给予残疾状态,这是因为她们参与家务的程度比男性大得多。

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