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[老年精神分裂症的典型形式]

[Typical forms of schizophrenia in old age].

作者信息

Sternberg E, Konzewoi V

出版信息

Psychiatr Clin (Basel). 1978;11(2):100-10.

PMID:734137
Abstract

Aside from typical forms of late schizophrenia which generally conform to the definition given by M. Bleuler, there also are psychoses appearing in old age which differ significantly from the atypical symptoms and consequently present certain diagnostic difficulties. This report contains descriptions of late manifestations in schizophrenic psychoses, which develop with a continuous or assault-like course with a prevalence of parnoial disorders. Paranoid delusions, in such cases, are characterized by aging traits (concrete and short-term delusions, exaggeration of the degree of superficial persecution and prejudice, and a limited number of people involved in the delusions). The development of such forms of late schizophrenia takes a slowly progressing course. The results of these studies, especially the psychopathological symptomatology, the genetic-constitutional background and the development and outcome of these psychoses are analyzed in detail. The data permit to consider such forms of psychose as atypical variants of late schizophrenia.

摘要

除了通常符合M. 布鲁勒所给出定义的典型晚发性精神分裂症形式外,老年期还会出现一些精神病,这些精神病与非典型症状有显著差异,因此存在一定的诊断困难。本报告包含了对精神分裂症性精神病晚期表现的描述,这些表现以持续或突发的病程发展,以妄想障碍为主。在这种情况下,偏执妄想具有老年特征(具体且短暂的妄想、表面迫害和偏见程度的夸大以及涉及妄想的人数有限)。这种晚发性精神分裂症形式的发展呈缓慢进展过程。详细分析了这些研究的结果,尤其是心理病理症状学、遗传体质背景以及这些精神病的发展和结局。这些数据使得可以将这种精神病形式视为晚发性精神分裂症的非典型变体。

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