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基于鉴别诊断确定同卵双胞胎内源性精神病的异同

[Determination of similarity and dissimilarity of endogenous psychoses in monozygotic twins based on a differential diagnosis].

作者信息

Trostorff S V

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1977 Mar;29(3):164-75.

PMID:560023
Abstract

The frequently published opinion that endogenous psychoses in monozygotic twins often show a marked lack of similarity could not be confirmed by the results of studies performed by the author and his associates. In general, differenting diagnosis allows the particular syndrome, on which the establishment of the respective diagnosis is based, to be nearly always observed in either partner. On the other hand, changes of mood, which are accessory symptoms, often show a different picture which may perhaps be regarded as being due to the fact that monozygotic twins often differ in their respective temperaments. The course and severity of the disease also usually show considerable differences which may in part be due to additional affections.

摘要

经常发表的观点认为,同卵双胞胎的内源性精神病往往明显缺乏相似性,但作者及其同事进行的研究结果并未证实这一点。一般来说,鉴别诊断能使基于各自诊断确立的特定综合征几乎总能在双胞胎的任何一方身上观察到。另一方面,作为附加症状的情绪变化往往呈现出不同的情况,这或许可以归因于同卵双胞胎在各自气质方面常常存在差异。疾病的病程和严重程度通常也显示出相当大的差异,这部分可能归因于其他疾病的影响。

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