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[基于随访研究看儿童及青少年期起病的强迫性神经症的动态变化与转归]

[Dynamics and outcome of obsessive neuroses with onset in childhood and adolescence in the light of follow-up studies].

作者信息

Shevchenko Iu S

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1979;79(10):1392-6.

PMID:494915
Abstract

A total of 52 patients (28 males and 24 females from 16.5 to 21.5 years of age) observed in childhood because of obsessional neuroses were studied. All the studied cases were divided into 3 groups: patients with obsessional movements and actions, patients with obsessional fears and patients with obsessions of the mixed type. Follow-up studies of the patients demonstrated that the prognosis of obsessional states with an onset in childhood and adolescency should not be based only on the duration of the disease. It depends on the combination of a number of factors: the clinical form of neuroses, type of development, traits of the "basis", stage of psychophysical development, determing evolution of the disease and degree of social adaptation.

摘要

对52例因强迫性神经症在儿童期接受观察的患者(28名男性和24名女性,年龄在16.5至21.5岁之间)进行了研究。所有研究病例分为3组:有强迫动作和行为的患者、有强迫恐惧的患者以及混合型强迫观念患者。对这些患者的随访研究表明,儿童期和青春期发病的强迫状态的预后不应仅基于疾病持续时间。它取决于多种因素的综合作用:神经症的临床形式、发育类型、“基础”特征、心理生理发育阶段、决定疾病演变的因素以及社会适应程度。

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