Department of Descriptive and Clinical Anatomy, Medical University of Warsaw, 02-004 Warsaw, Poland.
Department of Psychiatry, Medical University of Warsaw, 00-665 Warsaw, Poland.
Int J Environ Res Public Health. 2023 Mar 5;20(5):4592. doi: 10.3390/ijerph20054592.
The aim of the study was to evaluate factors that may contribute to the persistence of positive, negative and other psychopathological symptoms of schizophrenia. All patients were treated in general psychiatric wards between January 2006 and December 2017. The initial study sample comprised of the medical reports of 600 patients. The main, specified inclusion criterion for the study was schizophrenia as a discharge diagnosis. Medical reports of 262 patients were excluded from the study due to no neuroimaging scans being available. The symptoms were categorised into three groups: positive, negative, and other psychopathological symptoms. The statistical analysis comprised modalities such as demographic data, clinical symptoms, as well as neuroimaging scans linking them to a potential impact of sustaining the mentioned groups of symptoms during the period of hospitalization. The analysis revealed that statistically significant risk factors of persistence of the three groups of symptoms are the elderly age, the increasing toll of hospitalizations, suicidal attempts in medical history, a family history of alcohol abuse, the presence of positive, negative and other psychopathological symptoms on admission to the hospital, as well as the absence of cavum septi pellucidi (CSP). The study showed that addiction to psychotropic drugs and a family history of schizophrenia were more frequent in patients with persistent CSP.
本研究旨在评估可能导致精神分裂症阳性、阴性和其他精神病理学症状持续存在的因素。所有患者均于 2006 年 1 月至 2017 年 12 月在综合精神病病房接受治疗。初始研究样本包括 600 名患者的病历。本研究的主要特定纳入标准为出院诊断为精神分裂症。由于缺乏神经影像学扫描,有 262 名患者的病历被排除在研究之外。症状分为三组:阳性、阴性和其他精神病理学症状。统计分析包括人口统计学数据、临床症状以及将其与住院期间持续存在上述症状组的潜在影响联系起来的神经影像学扫描等方式。分析结果表明,三组症状持续存在的统计学显著危险因素为高龄、住院次数增加、既往有自杀企图、有酒精滥用家族史、入院时存在阳性、阴性和其他精神病理学症状,以及不存在中隔透明隔腔(CSP)。该研究表明,持续性 CSP 患者更常出现精神药物成瘾和精神分裂症家族史。