Shenton M E, Solovay M R, Holzman P
Arch Gen Psychiatry. 1987 Jan;44(1):21-30. doi: 10.1001/archpsyc.1987.01800130023004.
We examined thought disorder in 22 patients with schizoaffective disorder (12 schizoaffective-manic and ten schizoaffective-depressed) using Research Diagnostic Criteria. The Thought Disorder Index was used to tag 22 categories of thought disorder that ranged from mild to severe. Qualitative patterns in the thought disorder of schizoaffective patients were compared with those of 20 manic and 43 schizophrenic patients. Manic and schizoaffective-manic patients produced a high number of combinatory responses, but those produced by the schizoaffective-manic patients lacked the humor and playfulness of those of the manics. The schizoaffective-manic patients, like the schizophrenic patients, produced a high number of responses in the categories of idiosyncratic verbalizations, autistic thinking, and confusion. Unlike the manic patients, schizoaffective-depressed patients generally produced a few absurd and idiosyncratic responses in a setting of constricted output. The data strongly suggest that the thinking disorders of schizoaffective patients are like those of the schizophrenic patients.
我们使用研究诊断标准，对22例分裂情感性障碍患者（12例分裂情感性躁狂发作患者和10例分裂情感性抑郁发作患者）的思维障碍进行了研究。思维障碍指数用于标记22类从轻度到重度的思维障碍。我们将分裂情感性障碍患者思维障碍的定性模式与20例躁狂发作患者和43例精神分裂症患者的模式进行了比较。躁狂发作患者和分裂情感性躁狂发作患者产生了大量的组合反应，但分裂情感性躁狂发作患者产生的反应缺乏躁狂发作患者所具有的幽默和嬉戏性。分裂情感性躁狂发作患者与精神分裂症患者一样，在特殊言语表达、孤独症思维和思维紊乱类别中产生了大量反应。与躁狂发作患者不同，分裂情感性抑郁发作患者在产出受限的情况下通常只产生一些荒谬和特殊的反应。数据有力地表明，分裂情感性障碍患者的思维障碍与精神分裂症患者的相似。
