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[青少年精神分裂症“形而上学中毒”型起病伴超价观念障碍的早期诊断、多种结局及预后(一项后期随访研究结果)]

[Early diagnosis, variety of outcomes and prognosis of juvenile schizophrenia with over-value disorders of the "metaphysical intoxication" type onset (results of a late follow-up study)].

作者信息

Tsutsul'kovskaia M Ia, Izvol'skiĭ S A, Bol'zho A G, Kopeĭko G I

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(1):73-81.

PMID:3953198
Abstract

On the basis of follow-up findings about juvenile schizophrenia first expressed in superworship manifestations according to the type of metaphysical intoxication (98 observations), the authors established that most frequently these cases were characterized by a torpid course of the disease in the framework of slowly progressing juvenile schizophrenia. There was a high rate of favourable outcomes at the level of "clinical recovery" (in 42.5%). Favourable prognostic signs were as follows: the complete nature of the clinical picture of the syndrome, its similarity to pubertal crisis manifestations, the absence in its structure of other positive disturbances and a number of specific features of the premorbid picture. The authors determined the pattern of correlation between the typological characteristics of the state of juvenile metaphysical intoxication and the outcome of the disease, peculiarities of manifestations of this phenomenon at the initial stage of psychotic forms of juvenile schizophrenia, as well as distinctive features of superworship formations according to the type of juvenile metaphysical intoxication observed in the framework of pubertal decompensation in schizoid psychopathies.

摘要

基于对最初以超崇拜表现形式出现的青少年精神分裂症的随访结果(根据形而上学中毒类型进行了98次观察),作者确定,在缓慢进展的青少年精神分裂症框架内,这些病例最常表现为疾病进展缓慢。在“临床康复”水平上有较高的良好结局率(42.5%)。良好的预后迹象如下:综合征临床表现的完整性、与青春期危机表现的相似性、其结构中不存在其他阳性障碍以及病前状况的一些特定特征。作者确定了青少年形而上学中毒状态的类型学特征与疾病结局之间的相关模式、这种现象在青少年精神分裂症精神病形式初始阶段的表现特点,以及在分裂样精神病变态人格青春期失代偿框架内观察到的根据青少年形而上学中毒类型的超崇拜形成的独特特征。

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