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[基于当前临床-病史、流行病学和临床-谱系信息的精神分裂症系统分类问题]

[Problem of the systematics of schizophrenia in light of current clinico-catamnestic, epidemiologic and clinico-genealogic information].

作者信息

Nadzharov R A, Tsutsul'kovskaia M Ia, Kontsevoĭ V A, Shakhmatova-Pavlova I V, Shmaonova L M

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(1):66-78.

PMID:3984596
Abstract

On the basis of the results provided by clinical follow-up, clinico-epidemiological and clinico-genealogical studies, the authors have reviewed the systematics of the major forms of schizophrenia developed at the Institute of Psychiatry of the USSR Academy of Medical Sciences and offer a statistical characteristics of these forms. The authors specifically discussed the questions associated with the characteristics of the syndrome formation and course of slowly progressive (torpid) schizophrenia and the place these forms occupy in the modern foreign classifications, including the DCM-III). The paroxysm-like form was established to run predominantly the course with a small rate of attacks or the "one-paroxysm" course. Slowly progressive and psychotic forms of continuous schizophrenia were shown to be relatively continuous, being characterized by not only the signs of tortuosity of the course but also by those of regression and subsidence of the process. Attention is drawn to the necessity of special elaboration of the notion "residual schizophrenia". All these postulates are illustrated by the appropriate statistical population characteristics.

摘要

根据临床随访、临床流行病学和临床谱系研究提供的结果,作者回顾了苏联医学科学院精神病学研究所所发现的精神分裂症主要类型的分类系统,并给出了这些类型的统计学特征。作者特别讨论了与缓慢进展型(迟钝型)精神分裂症的综合征形成特点和病程相关的问题,以及这些类型在现代国外分类系统(包括《精神疾病诊断与统计手册》第三版)中所占的位置。发作样类型主要表现为发作频率低的病程或“单次发作”病程。持续性精神分裂症的缓慢进展型和精神病型表现为相对持续,其特征不仅在于病程的曲折迹象,还在于病情的消退和缓解迹象。文中提请注意有必要对“残留型精神分裂症”这一概念进行专门阐述。所有这些假设都通过相应的统计学总体特征进行了说明。

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