Storms L H
J Nerv Ment Dis. 1977 Apr;164(4):284-6. doi: 10.1097/00005053-197704000-00009.
Good premorbid (GP) schizophrenics have been found to have higher word association commonality scores than poor premorbid (PP) schizophrenics when both groups had been hospitalized over 5 years but not with shorter hospitalizations. There has been no previous study of changes in commonality in schizophrenics from beginning to end of hospitalization. The present study was a longitudinal investigation of word association commonality in GP and PP schizophrenics from admission to discharge from the hospital and at 3-month follow-up. Subjects were 16 GP and 16 PP schizophrenics. The two groups were equal in age, education, intelligence, and length of hospitalization. Commonality scores consisted of number of common responses to 50 Kent-Rosanoff stimulus words. GP and PP groups were not significantly different in commonality at admission, discharge, or follow-up. The combined groups showed a significant (p less than .01) increase in commonality from admission to discharge but no further change from discharge to follow-up. Taken separately, the GP group showed a significant increase in commonality from admission to discharge (p less than .02), while the PP difference was not statistically significant. The change in the GP group was significantly greater than in the PP group (p less than .05, one-tailed test). These results suggest that schizophrenics' word association commonalities may increase with improvement in clinical status and that GP schizophrenics show greater increases than PP schizophrenics.
研究发现,当两组精神分裂症患者均住院超过5年时,病前状态良好(GP)的精神分裂症患者比病前状态较差(PP)的精神分裂症患者具有更高的词语联想共性得分,但住院时间较短时则不然。此前尚无关于精神分裂症患者从住院开始到结束时共性变化的研究。本研究是一项纵向调查,观察了GP和PP精神分裂症患者从入院到出院以及出院后3个月随访期间的词语联想共性。研究对象为16名GP精神分裂症患者和16名PP精神分裂症患者。两组在年龄、教育程度、智力和住院时间方面相当。共性得分由对50个肯特-罗萨诺夫刺激词的共同反应数量组成。GP组和PP组在入院、出院或随访时的共性得分无显著差异。合并组从入院到出院共性得分显著增加(p小于0.01),但从出院到随访无进一步变化。单独来看,GP组从入院到出院共性得分显著增加(p小于0.02),而PP组差异无统计学意义。GP组的变化显著大于PP组(p小于0.05,单尾检验)。这些结果表明,精神分裂症患者的词语联想共性可能随着临床状态的改善而增加,且GP精神分裂症患者的增加幅度大于PP精神分裂症患者。