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施耐德阴性精神分裂症和分裂情感性障碍。

Schneider-negative schizophrenia and schizo-affective illness.

作者信息

Koehler K, Brüske I, Jacoby C

出版信息

Psychiatr Clin (Basel). 1978;11(2):111-7. doi: 10.1159/000283739.

DOI:10.1159/000283739
PMID:734138
Abstract

A slightly modified version of provisional research criteria for so-called 'schizo-affective and related psychosis', as recently published by the St. Louis Group, was used to investigate the case records of 116 Schneider-oriented first admissions of schizophrenics without first rank symptoms (Schneider-negative) who were hospitalized in a German center during the years 1962-1971. The sample contained 19.8% (23 cases) of research diagnosable schizo-affective illness as thus defined. 'Full' affective research criteria were satisfied by 13 of these schizo-affectives, and 10 were able to fulfill the 'adjusted' affective criteria assumed to be indicative of labile mixed mood states. The sample was then further analyzed in terms of 'schizophreniform' psychoses and 'atypical schizophrenia'. The findings seem to support the view that a non-negligible segment (23.3%) of Schneider-negative schizophrenia actually may represent either research diagnosable schizo-affective or affective disorders or satisfy criteria for both diagnoses.

摘要

采用圣路易斯小组最近公布的所谓“分裂情感性及相关精神病”临时研究标准的一个稍作修改的版本,对1962年至1971年间在德国一家中心住院的116例以施奈德标准为导向、首次入院且无一级症状(施奈德阴性)的精神分裂症患者的病例记录进行了调查。该样本中有19.8%(23例)为如此定义的可进行研究诊断的分裂情感性疾病。这些分裂情感性患者中有13例满足“完全”情感研究标准,10例能够满足假定指示不稳定混合情绪状态的“调整后”情感标准。然后,对该样本进一步按照“精神分裂症样”精神病和“非典型精神分裂症”进行分析。研究结果似乎支持这样一种观点,即施奈德阴性精神分裂症中不可忽视的一部分(23.3%)实际上可能代表可进行研究诊断的分裂情感性或情感性障碍,或满足两种诊断标准。

相似文献

1
Schneider-negative schizophrenia and schizo-affective illness.施耐德阴性精神分裂症和分裂情感性障碍。
Psychiatr Clin (Basel). 1978;11(2):111-7. doi: 10.1159/000283739.
2
Research diagnosable "schizo-affective" disorder in Schneiderian "first rank" schizophrenia.在施奈德式“一级”精神分裂症中研究可诊断的“分裂情感性”障碍。
Acta Psychiatr Scand. 1979 Oct;60(4):347-54. doi: 10.1111/j.1600-0447.1979.tb00284.x.
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Kraepelin-oriented research-diagnosable schizophrenia, mania, and depression in Schneider-negative schizophrenics.
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引用本文的文献

1
The diagnostic status of first-rank symptoms.一级症状的诊断状况。
Schizophr Bull. 2008 Jan;34(1):137-54. doi: 10.1093/schbul/sbm044. Epub 2007 Jun 11.