Summers F
J Clin Psychol. 1981 Oct;37(4):705-14. doi: 10.1002/1097-4679(198110)37:4<705::aid-jclp2270370404>3.0.co;2-d.
Assessed 44 chronic schizophrenic and 38 chronic nonschizophrenic patients recently discharged from psychiatric hospitals; symptoms as well as social and vocational functioning were evaluated. Results indicated that the recently discharged schizophrenics suffered more from social and vocational dysfunction than acute symptom distress. Furthermore, "neurotic-like" symptoms appeared to be more generally characteristic of this post-acute phase than psychotic symptoms. The nonschizophrenic sample differed in no significant respect from the schizophrenic group. Results were interpreted to support the concept of multidimensional outcome for schizophrenic psychopathology and to suggest that chronicity may be a syndrome in itself, characterized by performance deficit and neurotic-like symptoms, which transcends traditional diagnostic categories.
评估了44名近期从精神病院出院的慢性精神分裂症患者和38名慢性非精神分裂症患者；对症状以及社会和职业功能进行了评估。结果表明，近期出院的精神分裂症患者在社会和职业功能障碍方面比急性症状困扰更为严重。此外，“类神经症”症状似乎比精神病症状更普遍地是这一急性期后阶段的特征。非精神分裂症样本与精神分裂症组在任何显著方面均无差异。结果被解释为支持精神分裂症精神病理学多维结果的概念，并表明慢性本身可能是一种综合征，其特征为功能缺陷和类神经症症状，超越了传统诊断类别。
