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精神分裂症男性对死亡的过度关注。

Preoccupation with death in schizophrenic men.

作者信息

Planansky K, Johnston R

出版信息

Dis Nerv Syst. 1977 Mar;38(3):194-7.

PMID:837823
Abstract

A systemic review of psychiatric histories of 205 hospitalized, schizophrenic men (veterans) revealed that 80 had expressed fear of dying, being killed, of no longer existing, or other evidence of preoccupation with death. These expressions of fear appeared either at the clinical onset of the psychosis, or during exacerbations, and often coincided with schizophrenic panic. The similarity of expressions of the fear among the patients was striking, and they were practically indentical from one exacerbation to the next. This consistency suggests that the fear of death stems from schizophrenic psychopathology rather than from individual situational influence. The explicitly stated preoccupation with death was quite common in this sample (40%), and contrary to expectation, was not limited to cases with favorable outcome.

摘要

对205名住院的男性精神分裂症退伍军人的精神病史进行的一项系统性综述显示,80人曾表达过对死亡、被杀、不复存在的恐惧,或其他对死亡过度关注的迹象。这些恐惧表达要么出现在精神病临床发作时,要么出现在病情加重期间,且常常与精神分裂症惊恐发作同时出现。患者之间恐惧表达的相似性非常显著,而且在一次病情加重到下一次病情加重期间几乎完全相同。这种一致性表明,对死亡的恐惧源于精神分裂症的精神病理学,而非个体的情境影响。在这个样本中,明确表达的对死亡的过度关注相当普遍(40%),而且与预期相反,并不局限于预后良好的病例。

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