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[阴性症状的动态变化与阵发性精神分裂症的鉴别问题(流行病学研究)]

[Dynamics of negative disorders and the problem of differentiating paroxysmal schizophrenia (epidemiologic study)].

作者信息

Shmaonova L M, Liberman Iu I, Khokhlova T V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(8):1177-87.

PMID:6495940
Abstract

The task was set to elaborate, using random material, a systematics of paroxysm-like schizophrenia on the basis of the characteristics of the time-course of negative disturbances and comparison with the current systematics formed on the basis of the clinical experience. The authors analyzed the course of the disease in all registered patients with paroxysm-like schizophrenia (3928 individuals) living in four administrative districts of Moscow. Seven major variants of paroxysm-like schizophrenia have been identified. The prognosis of the disease is more favourable in cases where it first manifests itself by mild negative changes. The time-course of adverse changes determines the development of productive disturbances and their level both in paroxysms and remissions. The relationship between these phenomena indicates certain pathogenetic independence of each of the identified variants of the disease course.

摘要

该任务设定为,基于阴性障碍病程特征并与基于临床经验形成的现行分类系统相比较,利用随机材料详细阐述类阵发性精神分裂症的分类系统。作者分析了居住在莫斯科四个行政区的所有登记在册的类阵发性精神分裂症患者(3928人)的病程。已确定类阵发性精神分裂症的七种主要变体。若疾病最初以轻度阴性变化表现出来,则预后更为有利。不良变化的病程决定了阵发性发作和缓解期内的阳性障碍及其程度的发展。这些现象之间的关系表明所确定的每种病程变体都具有一定的致病独立性。

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1
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Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(8):1177-87.
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