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一项关于非精神分裂症性精神障碍的《精神疾病诊断与统计手册》第三版家族研究。

A DSM-III family study of the nonschizophrenic psychotic disorders.

作者信息

Kendler K S, Gruenberg A M, Tsuang M T

出版信息

Am J Psychiatry. 1986 Sep;143(9):1098-105. doi: 10.1176/ajp.143.9.1098.

Abstract

The authors conducted a blind DSM-III family study based on probands diagnosed from long-term follow-up information as having schizophreniform disorder, schizoaffective disorder, or psychotic affective illness. The pattern of psychopathology in relatives of schizophreniform probands closely resembled that found previously in relatives of schizophrenic probands. Relatives of schizoaffective probands had an excess risk for schizophrenia, other psychoses, and bipolar illness. The pattern of illness found in relatives of the probands meeting Research Diagnostic Criteria for mainly schizophrenic schizoaffective disorder appeared indistinguishable from that of relatives of schizophrenic probands. Relatives of probands with psychotic affective disorder had an excess risk for schizophrenia and for unipolar and bipolar affective disorder.

摘要

作者基于从长期随访信息诊断为精神分裂症样障碍、分裂情感性障碍或精神病性情感障碍的先证者,开展了一项盲法DSM-III家族研究。精神分裂症样障碍先证者的亲属中精神病理学模式与先前在精神分裂症先证者亲属中发现的模式极为相似。分裂情感性障碍先证者的亲属患精神分裂症、其他精神病及双相情感障碍的风险增加。符合主要为精神分裂症型分裂情感性障碍研究诊断标准的先证者亲属中所发现的疾病模式,似乎与精神分裂症先证者亲属的模式难以区分。患有精神病性情感障碍的先证者亲属患精神分裂症、单相及双相情感障碍的风险增加。

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