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[偏执型精神分裂症病程中妄想综合征动态变化的年龄比较特征]

[Comparative-age features of the dynamics of delusional syndromes in the course of paranoid schizophrenia].

作者信息

Alimkhanov Zh A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(8):1203-9.

PMID:6495944
Abstract

The characteristics of the time-course of delirious syndromes in paranoid schizophrenia with the psychotic manifestation in juvenile (under 20 years) and elderly age (over 45 years) were studied. Patients with juvenile manifestations of psychosis (20 men and 11 women) exhibited the complexity and variability of delirious syndromes. At the same time, the stability and intensity of the manifestations of individual psychopathological phenomena attended with the homogeneity of the psychosis structure were noted. The absence of the phenomenological clarity of delirious emotions was associated with an unfavourable course of psychosis. In a group of patients with a late manifestation of psychosis (11 males, 57 females), the delirious syndromes were inert in nature. The phenomenological structure of the syndrome consisted of the reduced and chronic forms of delirious perception and delirious imagination with time, ideas of persecution assumed greater prominence in the content of psychosis.

摘要

研究了青少年(20岁以下)和老年(45岁以上)出现精神病性表现的偏执型精神分裂症中谵妄综合征的时程特征。有青少年期精神病表现的患者(20名男性和11名女性)呈现出谵妄综合征的复杂性和变异性。同时,注意到个体精神病理现象表现的稳定性和强度以及精神病结构的同质性。谵妄情绪缺乏现象学清晰度与精神病的不良病程相关。在一组有晚期精神病表现的患者(11名男性,57名女性)中,谵妄综合征本质上较为惰性。该综合征的现象学结构包括随着时间推移谵妄感知和谵妄想象的减轻和慢性形式,迫害观念在精神病内容中变得更加突出。

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