Strian F, Heger R, Klicpera C
Psychiatr Clin (Basel). 1981;14(4):205-14. doi: 10.1159/000283919.
During 197 courses of treatment for schizophrenia, depressive mood was evaluated every other day with a self-rating mood scale. The different patterns of depression identified in an earlier study could be correlated with the diagnostic subgroups of schizophrenia in which the patients were classified. Hebephrenic affect disturbance appeared as temporal discontinuity of depressive mood during the courses of treatment. Patients with a paranoid type of schizophrenia were the least depressed and had the fewest fluctuations of mood. Although patients with a schizoaffective type of schizophrenia exhibited characteristic changes between manic and depressive mood, their mood within a manic or depressive period was more stable than that of any other subgroup. The differences in depressive course are discussed in terms of their symptomatological and diagnostic significance.
在197例精神分裂症的治疗过程中，每隔一天用自评情绪量表评估抑郁情绪。在早期研究中确定的不同抑郁模式与患者所属的精神分裂症诊断亚组相关。青春型情感障碍在治疗过程中表现为抑郁情绪的时间间断性。偏执型精神分裂症患者抑郁程度最轻，情绪波动最少。虽然精神分裂症情感型患者在躁狂和抑郁情绪之间表现出特征性变化，但他们在躁狂或抑郁期内的情绪比其他任何亚组都更稳定。本文从症状学和诊断意义方面讨论了抑郁病程的差异。
