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病程中伴有慢性轻躁狂症状的缓慢进展型精神分裂症

[Slowly progressive schizophrenia with signs of chronic hypomania during its course].

作者信息

Moroz I B

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1983;83(1):79-85.

PMID:6829256
Abstract

A total of 44 patients suffering from slow-progressive schizophrenia with affective disorders prevalence were examined. A long latent stage was defined as Bonn's "masked mania", two variants of the development were singled out in the active period of the disease. The first variant was characterized by depressive disorders and "mixed states" type of a clinical picture. The patients were optimistic, demonstrating high self-estimation in spite of depressive complaints, flaccidity, suppression, weakness, apathy and pseudoneurotic disorders. Accelerated development of associations was retained and motor retardation was absent Personality changes were limited by emotional and psychopathic ones. The second variant represented affective paranoia, delusional disorders formed on the basis of chronic hypomania. Its expressivity correlated with the intensity of hypomanic effect. Personality changes included thought disturbances, autization, mild decrease of the energy potential.

摘要

共检查了44例患有伴有情感障碍的缓慢进展型精神分裂症患者。将漫长的潜伏期定义为波恩的“隐匿性躁狂症”,在疾病的活跃期区分出两种发展变体。第一种变体的特征是抑郁障碍和临床症状为“混合状态”类型。尽管患者有抑郁主诉、松弛、抑制、虚弱、冷漠和类神经症性障碍,但他们表现得乐观,自我评估较高。联想加速发展得以保留,且无运动迟缓。人格改变仅限于情绪和精神变态方面。第二种变体表现为情感性偏执狂,妄想障碍基于慢性轻躁狂形成。其表现力与轻躁狂效应的强度相关。人格改变包括思维障碍、自我化、能量潜力轻度下降。

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