Landmark J, Joseph L, Merskey H
Eg Psychiatric Hospital, Kristiansand, Norway.
Can J Psychiatry. 1987 Aug;32(6):425-8. doi: 10.1177/070674378703200604.
We examined the outcome with fluphenazine treatment and ECT in a group of 120 patients according to the incidence of psychopathological symptoms, the patients' status on a variety of sociodemographic and anamnestic variables, and their diagnoses according to 13 systems for diagnosing schizophrenia. All had previously been considered to be schizophrenic patients at least once in hospital settings. The outcome with fluphenazine was better in patients with passivity feelings, auditory hallucinations and other hallucinations and delusions. The outcome with patients who had ECT, as judged from the hospital files, was better in those who were preoccupied with delusions or hallucinations and less successful in those who had been diagnosed as having schizophrenia on the first previous occasion when they had been discharged from the hospital.
我们根据精神病理症状的发生率、患者在各种社会人口统计学和既往史变量方面的状况以及依据13种精神分裂症诊断系统所做的诊断,对120例患者采用氟奋乃静治疗和电休克治疗的效果进行了研究。所有患者此前在医院环境中至少有一次被视为精神分裂症患者。对于有被动体验、幻听及其他幻觉和妄想的患者,氟奋乃静治疗效果更佳。从医院病历判断,接受电休克治疗的患者中,那些专注于妄想或幻觉的患者效果较好,而那些首次出院时被诊断为精神分裂症的患者效果较差。