Aarkrog T, Mortensen K V
Acta Psychiatr Scand. 1985 Nov;72(5):422-9. doi: 10.1111/j.1600-0447.1985.tb02635.x.
The purpose of this paper is to draw attention to schizophrenias starting in early adolescence, before age 15. Diagnosis may be difficult because such early manifestations may differ from the classical schizophrenias and from the traditional subgroups. The authors caution against a too liberal interpretation of normal problems in adolescence. In comment on the literature, particular weight is placed on descriptions of schizophrenias in adolescence. Some typical early manifestations of schizophrenia are described including, among other traits, depressive states and sociopathic behaviour. Key symptoms such as thought disturbances or flattening of affect may be lacking. Five long-term cases were chosen. None was classified in childhood as infantile borderline. A diagnosis of schizophrenia was made in adolescence. In the cases where Schneider's criteria are not fulfilled, other hard evidence of schizophrenia is given. Emphasis is placed on the importance of early diagnosis.
本文的目的是提请关注始于青春期早期（15岁之前）的精神分裂症。诊断可能会很困难，因为这些早期表现可能不同于典型的精神分裂症以及传统的亚组类型。作者告诫不要对青少年的正常问题进行过于宽泛的解读。在对文献的评论中，特别强调了对青少年精神分裂症的描述。文中描述了精神分裂症的一些典型早期表现，除其他特征外，还包括抑郁状态和反社会行为。可能缺乏思维紊乱或情感平淡等关键症状。选取了5个长期病例。没有一个在儿童期被归类为婴儿型边缘型人格障碍。均在青少年期被诊断为精神分裂症。在不符合施奈德标准的病例中，给出了精神分裂症的其他确凿证据。强调了早期诊断的重要性。
