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[从远期疗效看青少年精神分裂症的发展特点]

[Characteristics of the development of juvenile schizophrenia in view of the late catamnesis].

作者信息

Tsutsul'kovskaia M Ia

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1979;79(5):604-11.

PMID:452796
Abstract

By means of a clinico-follow-up method the author studied 751 schizophrenic patients with the onset of the disease in adolescence and a catamnesis more than 10 years. It was established that in 96.5% of the cases the diagnostic evaluation made in inpatient conditions was correct. A comparison of the assessment of forms in the development of schizophrenia during the first examination and during follow-up study demonstrated that in most of the cases the first determination of the form of the development on the initial stages of the disease in adolescence was justified, but the frequency of correct initial assessment of the forms of development was different in various clinical states. Despite the formed opinion concerning the prevalent unfavourable outcome of schizophrenia with the onset in adolescence, on the remote stages there was a high percentage of patients under outpatient observation (80.7%), and those working at an ordinary production (40%). In many cases (49.6%) there was a frequent alleviation of the process activity on remote stages and formation of remission.

摘要

作者采用临床随访方法,对751例青春期起病且病史超过10年的精神分裂症患者进行了研究。结果发现,在96.5%的病例中,住院期间做出的诊断评估是正确的。首次检查和随访研究期间对精神分裂症发展形式的评估比较表明,在大多数情况下,青春期疾病初始阶段对发展形式的首次判定是合理的,但不同临床状态下发展形式初始评估正确的频率有所不同。尽管普遍认为青春期起病的精神分裂症预后不良,但在远期阶段,门诊观察患者的比例很高(80.7%),从事普通生产工作的患者比例也较高(40%)。在许多病例(49.6%)中,远期阶段病情活动频繁缓解并形成缓解状态。

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