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环性精神病的发病率。首次入院精神病患者的临床研究。

Incidence of cycloid psychosis. A clinical study of first-admission psychotic patients.

作者信息

Lindvall M, Axelsson R, Ohman R

机构信息

Department of Psychiatry, University Hospital, Lund, Sweden.

出版信息

Eur Arch Psychiatry Clin Neurosci. 1993;242(4):197-202. doi: 10.1007/BF02189963.

Abstract

The concept of cycloid psychosis has gained increasing acceptance during recent decades. Using the diagnostic criteria of Perris and Brockington, an intelligible delineation of a group of patients has been obtained. Few epidemiological data on cycloid psychosis have been reported so far. The objective of the present study was to describe the one-year incidence of cycloid psychosis in a clinical sample. The diagnostic registers of all patients hospitalized for a functional or an organic psychosis and discharged in the year 1983, in Lund, Sweden were investigated. 514 patients were identified of whom 83 were admitted to hospital for the first time. 29 of these patients had a functional psychosis and were below the age of 50. In this age group 7 cases (4 women, 3 men) fulfilled the diagnostic criteria of cycloid psychosis and thus constituted almost one fourth of all first admissions of functional psychoses that year. The one-year incidence for first admission in cycloid psychosis was 5.0 per 100,000 inhabitants in women and 3.6 per 100,000 inhabitants in men within the age group 15-50 years in the catchment area of 163,175 persons. We conclude that cycloid psychosis constitutes a considerable proportion of functional psychoses in both sexes.

摘要

近几十年来,循环性精神病的概念越来越被人们所接受。运用佩里斯(Perris)和布罗金顿(Brockington)的诊断标准,已对一组患者进行了清晰的界定。到目前为止,关于循环性精神病的流行病学数据报道较少。本研究的目的是描述临床样本中循环性精神病的一年发病率。我们调查了1983年在瑞典隆德因功能性或器质性精神病住院并出院的所有患者的诊断记录。共识别出514例患者,其中83例是首次入院。这些患者中有29例患有功能性精神病且年龄在50岁以下。在这个年龄组中,有7例(4名女性,3名男性)符合循环性精神病的诊断标准,几乎占该年所有功能性精神病首次入院病例的四分之一。在163,175人的集水区内,15 - 50岁年龄组中循环性精神病首次入院的一年发病率女性为每10万居民5.0例,男性为每10万居民3.6例。我们得出结论,循环性精神病在功能性精神病中占相当大的比例,男女皆是如此。

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