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[外源性因素对青少年精神分裂症初始障碍临床特征的影响]

[Effect of exogenous factors on clinical features of initial disorders in adolescent schizophrenia].

作者信息

Mestiashvili M G, Rukhadze N V, Dzhibgashvili N I, Kurashvili N G, Shoniia M K

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(10):1531-3.

PMID:6506961
Abstract

Using clinical and experimental-psychological methods (a method of fixed orientation), the authors have studied 34 adolescents with continuous schizophrenia whose manifestation was attended by some exogenic factors (psychogenies, somatogenies, tox-infectious, and cranial traumas). The results obtained indicate some complications of psychopathological disturbances at the initial stage, manifesting in their marked acuteness, extension of the polymorphic spectrum and inclusion of heteronomous formations uncharacteristic of schizophrenia. A group of heteronomous manifestations should include sensorium disorders, pronounced emotional lability, general cerebral impairments, episodes of visual illusions and hallucinations, etc. The fixed orientation in the cases described is largely the same as in "nuclear" schizophrenia but some specificities, predominantly in the presence of psychogenic factors, are also observed.

摘要

作者运用临床和实验心理学方法(一种固定定向方法),对34名持续性精神分裂症青少年患者进行了研究,这些患者的症状伴有一些外源性因素(精神源性、躯体源性、毒素感染性和颅脑外伤)。所得结果表明,在初始阶段精神病理障碍存在一些并发症,表现为其显著的急性程度、多形性谱的扩展以及包含精神分裂症不典型的自主性结构。一组自主性表现应包括感觉障碍、明显的情绪不稳定、一般性脑损伤、视幻觉发作等。所描述病例中的固定定向在很大程度上与“核心”精神分裂症相同,但也观察到一些特异性,主要是存在精神源性因素。

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