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[妄想型精神分裂症人格改变的临床特征及预后评估]

[Clinical characteristics and prognostic evaluation of changes in personality in delusional schizophrenia].

作者信息

Panteleeva G P, Beliaev B S

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(1):63-9.

PMID:6702379
Abstract

On the basis of the clinical examination of 141 patients of both sexes with delirious schizophrenia, the authors present clinical descriptions of different varieties of the premorbid personality make-up and of the types of adverse personality changes in patients with varying course and degree of the disease progression. These parameters are correlated with the dynamic characteristics of the personality at the initial stage of delirious schizophrenia as well as with a number of other clinical-pathogenetic parameters (sex, age at the moment of the disease manifestation). The suggestion is discussed that premorbid personality characteristics and sex have not only pathogenic but also pathoplastic effect on the formation of the clinical picture of the subsequent disturbances. The question is raised whether the clinical parameters characterizing the manifestations and time-course of personality alterations associated with delirious schizophrenia can be used as early prognostic signs.

摘要

基于对141例不同性别的谵妄型精神分裂症患者的临床检查,作者呈现了病前人格构成的不同类型以及疾病进程和程度各异的患者中不良人格变化类型的临床描述。这些参数与谵妄型精神分裂症初始阶段人格的动态特征以及一些其他临床致病参数(性别、发病时年龄)相关。文中讨论了这样一种观点,即病前人格特征和性别不仅对后续障碍临床表现的形成具有致病作用,还具有病理塑形作用。文中还提出一个问题,即表征与谵妄型精神分裂症相关的人格改变的表现和时间进程的临床参数是否可作为早期预后指标。

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