Morozov G V, Kudriavtsev I A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1979;79(9):1356-61.
Comparative clinicostatistical, epidemiological and catamnestic investigation was carried out in two groups of patients with reactive psychoses (a total of 982 subjects) recorded at medico-legal expert testimony in 1950--1960 (I group) and in 1961--1972 (II group). It was found that in the recent decade reactive psychoses are rarely transformed and course in the presence of less vitalistic affective disorders with a tendency to increasing hysterical symptoms; the relapses are not rather long and severe, and they lead to postreactive psychic changes less frequently. It is suggested that reactive psychoses are subject to essential pathomorphism which has clinical importance and optimistic prognosing.
对两组反应性精神病患者(共982例)进行了临床统计学、流行病学和病史调查比较。这两组患者分别是在1950 - 1960年(第一组)和1961 - 1972年(第二组)接受法医专家鉴定的。结果发现,在最近十年中,反应性精神病很少发生转变,病程中存在不那么严重的情感障碍,且癔症症状有增加的趋势;复发时间不长且不严重,导致反应后精神改变的情况也较少见。有人认为,反应性精神病存在本质性的病理形态变化,这具有临床重要性和乐观的预后意义。