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[疾病晚期周期性精神分裂症患者的社会职业再适应(根据临床流行病学研究结果)]

[Social-vocational readaptation of patients with periodic schizophrenia at late stages of the course of the disease (according to the results of a clinico-epidemiologic study)].

作者信息

Agranovskiĭ M L

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(5):719-26.

PMID:6235696
Abstract

A comparative clinical-epidemiological investigation of 193 patients with long-standing periodic schizophrenia (over 20 years) living in different regions of the country (Moscow and Andizhan) made it possible to determine the general regularities and characteristics of the social and occupational readaptation of the given group of patients. Marriage and good relationships within the family were consistent with better readaptation potentialities in both populations. With regard to other factors, patients with higher and incomplete higher education engaged in mental occupations showed better results in the Moscow population while patients with general and special secondary education engaged in qualified manual work exhibited better prognosis in the Andizhan population. A low level of education and qualification (for the Moscow population) the lack of a spouse and unsatisfactory family relations as well as the presence of a documentally validated group of disability (particularly Group II) were significantly more frequently correlated with social and occupational deadaptation of the patients studied.

摘要

对居住在该国不同地区(莫斯科和安集延)的193例病程长达20年以上的慢性周期性精神分裂症患者进行的一项临床流行病学对比调查,使得确定该组患者社会和职业重新适应的一般规律及特点成为可能。婚姻及家庭内良好关系在两组人群中均与更好的重新适应潜力相关。至于其他因素,接受过高等及不完全高等教育且从事脑力工作的患者在莫斯科人群中表现出更好的结果,而接受过普通中等教育及中等专业教育且从事熟练体力劳动的患者在安集延人群中预后更佳。低教育水平和资质(针对莫斯科人群)、缺乏配偶及不满意的家庭关系以及存在经文件证实的残疾组(尤其是第二组),与所研究患者的社会和职业适应不良显著更频繁相关。

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