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[缓慢进行性精神分裂症中反应性妄想形成的问题]

[Problem of reactive delusion formation in slowly progressive schizophrenia].

作者信息

Morkovkina I V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1983;83(1):86-93.

PMID:6829257
Abstract

Reactive delirious psychoses in 38 patients with slow-progressive schizophrenia (SPS) were studied. Three clinical variants of SPS were singled out while studying the course and psychopathological features of endogenic process with delirious reactions. Delirious reactions are known to form only in those patients with SPS whose endogenic process had favoured their manifestation in the presence of additional psychogenic factors. Personality traits connected with endogenic process (psychopathlike manifestations with hypoparanoic features, higher affective reactivity acquired) as well as readiness to acute delirium conditioned by endogenic process itself underlie the delirium appearance. The type, development, and outcome of psychogenic disorders are predetermined by schizophrenic process itself.

摘要

对38例缓慢进展型精神分裂症(SPS)患者的反应性谵妄性精神病进行了研究。在研究内源性过程伴有谵妄反应的病程和精神病理学特征时,区分出了SPS的三种临床变体。已知谵妄反应仅在那些内源性过程有利于其在存在额外心理因素时表现出来的SPS患者中形成。与内源性过程相关的人格特质(具有类偏执性特征的类精神病理表现、获得性更高的情感反应性)以及由内源性过程本身所决定的对急性谵妄的易感性是谵妄出现的基础。心理障碍的类型、发展和结果由精神分裂症过程本身预先决定。

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