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早期精神分裂症的14年预后

14-year outcome in early schizophrenia.

作者信息

Bland R C, Orn H

出版信息

Acta Psychiatr Scand. 1978 Oct;58(4):327-38. doi: 10.1111/j.1600-0447.1978.tb00239.x.

Abstract

Of 45 first admission schizophrenics from 1963, an incidence by first admission group for northern Alberta, 43 were followed-up 14 years later. Based on these figures the expectancy was found to be 0.49%. The proportion of patients who were married was less than expected in comparison with the general population, but amongst the married, fertility was probably comparable to the population's. At follow-up about half the patients were managing well with little or no disability, one quarter had moderate to marked disability and the remainder were socially, psychiatrically and occupationally disabled. From the time of first admission, patients had spent an average of 15% of their time in hospital and lost 28% of the total time due to psychiatric disability.

摘要

在1963年首次入院的45名精神分裂症患者中(这是阿尔伯塔省北部首次入院患者群体的发病率数据),14年后对其中43人进行了随访。根据这些数据,预期发病率为0.49%。与普通人群相比,已婚患者的比例低于预期,但在已婚患者中,生育能力可能与普通人群相当。随访时,约一半患者病情控制良好,几乎没有或仅有轻微残疾,四分之一患者有中度至重度残疾,其余患者在社交、精神和职业方面存在残疾。从首次入院起,患者平均有15%的时间住院,因精神残疾损失了28%的总时间。

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