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精神疾病的康复方式与长期预后。

Recovery style from mental illness and long-term outcome.

作者信息

McGlashan T H

机构信息

Chestnut Lodge Research Institute, Rockville, Maryland 20850.

出版信息

J Nerv Ment Dis. 1987 Nov;175(11):681-5. doi: 10.1097/00005053-198711000-00006.

DOI:10.1097/00005053-198711000-00006
PMID:3681279
Abstract

Integration and sealing over have been identified as clinically distinct recovery styles from schizophrenia. Specific definitions and scales of these styles were applied reliably to 231 patients from the Chestnut Lodge follow-up study at long-term outcome (15 year average). Data were analyzed for the entire sample and for diagnostic subgroups: schizophrenia, schizoaffective and unipolar affective disorders, and schizotypal and borderline personality disorders. Results find that integration and sealing over are strongly correlated with functional outcome. While linked somewhat to type of psychopathology, these styles are best conceived as enduring personality trait characteristics in the nature of predictors.

摘要

整合与封闭被认为是精神分裂症临床上不同的康复方式。这些方式的具体定义和量表被可靠地应用于来自栗树屋随访研究的231名患者的长期预后(平均15年)。对整个样本以及诊断亚组进行了数据分析:精神分裂症、分裂情感性和单相情感性障碍,以及分裂型和边缘型人格障碍。结果发现,整合与封闭与功能预后密切相关。虽然这些方式在某种程度上与精神病理学类型有关,但最好将其视为预测因素性质的持久人格特质特征。

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