Mikhaĭlova V A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1979;79(1):71-8.
By means of clinico-catamnestical examination, all schizophrenic patients who were admitted for the first time to the clinics of the Institute of Psychiatry from 1962--1965 were eventually studied. The disease in adolescnecy manifested with an acute florid attack. The studies detected a significant percentage (42,0%) of cases with a favorable outcome, following the adolescent period and a markedly reduced clinical picture of the successive attacks. The quality of the remissions was better and there was a good sociolabor adaptation of these patients. The paper contains a description of the typology of the different development of adolescent attacklike schizophrenia, based on the differences in the degree of the process progression. The traits of the initial stages, the picture of the manifest attacks and eventual remissions in each of the variants of schizophrenia were reconstructed. The question of grounded decisions concerning the prognostication on the basis of such studies is set forth.
通过临床随访检查,对1962年至1965年首次入住精神病学研究所各诊所的所有精神分裂症患者进行了最终研究。青春期发病表现为急性明显发作。研究发现,相当比例(42.0%)的病例在青春期后预后良好,后续发作的临床表现明显减轻。缓解质量更好,这些患者的社会劳动适应情况良好。本文基于病程进展程度的差异,描述了青少年发作样精神分裂症不同发展类型。重构了精神分裂症各亚型初始阶段的特征、明显发作的表现及最终缓解情况。提出了基于此类研究做出有依据的预后判断的问题。