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["新型"慢性精神分裂症患者群体的临床流行病学特征]

[Clinico-epidemiologic characteristics of a contingent of chronic schizophrenic patients of the "new type"].

作者信息

Krasik E D, Smol'ianinova V F

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(5):742-6.

PMID:4024798
Abstract

Using clinico-epidemiological research methods, the authors have studied 260 schizophrenic patients in whom the disease was first manifested in the period when wide-scale combined rehabilitation programmes were under way. It has been demonstrated that the incidence of chronic schizophrenia shows no tendency to decrease despite the use of modern rehabilitation methods. Chronicity itself has become more variable in its manifestations; thus the population of "chronics" is mostly made up of young people. An analysis of the time-course of invalidization of schizophrenic patients in the first four years of the disease has indicated a clear-cut peak at the second year after the manifestation of the process. The findings obtained made it possible to describe a number of parameters of functioning of "chronic patients of a new type". It has been shown that these patients are young and characterized by a comparatively short duration of the disease, frequent rehospitalization, marked manifestations of social disadaptation in the presence of externally normal behaviour due to rapid incapsulation of the current symptomatology, formally intact familial ties and a high frequency of abnormal behavioural manifestations.

摘要

作者运用临床流行病学研究方法,对260例精神分裂症患者进行了研究,这些患者的疾病首次出现于大规模综合康复项目开展期间。结果表明,尽管采用了现代康复方法,慢性精神分裂症的发病率并无下降趋势。慢性本身在表现形式上变得更加多样化;因此,“慢性患者”群体主要由年轻人组成。对精神分裂症患者在疾病最初四年中致残过程的时间进程分析表明,在病程出现后的第二年有一个明显的峰值。所获得的研究结果使得描述“新型慢性患者”的一些功能参数成为可能。结果显示,这些患者较为年轻,疾病持续时间相对较短,频繁再次住院,由于当前症状迅速被局限化,在外表行为正常的情况下存在明显的社会适应不良表现,家庭关系形式上完整,且异常行为表现频繁。

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