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精神分裂症的多重缺陷理论:标志物与症状的发生率

Multiple deficit theory of schizophrenia: incidence of markers vs. symptoms.

作者信息

Chapin K J, Rosenbaum G, Fields R B, Wightman L H

机构信息

University of Detroit, Mercy, USA.

出版信息

J Clin Psychol. 1996 Mar;52(2):109-23. doi: 10.1002/(SICI)1097-4679(199603)52:2<109::AID-JCLP1>3.0.CO;2-P.

Abstract

Forty schizophrenic, 20 affective-disordered, and 40 matched normal control subjects were compared on postulated marker and symptom measures of schizophrenic deficits in: (a) affect; (b) attention; (c) proprioception; and (d) thought. The schizophrenic group was significantly more impaired on all four vulnerability markers than were the other two groups, while the schizophrenic and affective-psychotic groups showed comparable impairments on three of the psychotic symptom deficits. The incidence of multiple marker deficits was significantly greater in the schizophrenic than in the affective group. The hypothesis of independence of marker deficits was supported by the absence of any significant correlations among markers in the schizophrenic sample. The data support the theory that independent markers of schizophrenic vulnerability may potentiate schizophrenic disorders when their incidence is concurrent and at deficit levels.

摘要

对40名精神分裂症患者、20名情感障碍患者以及40名相匹配的正常对照受试者,就精神分裂症缺陷的假定标志物和症状指标在以下方面进行了比较:(a)情感;(b)注意力;(c)本体感觉;以及(d)思维。精神分裂症组在所有四个易感性标志物上的受损程度均显著高于其他两组,而精神分裂症组和情感性精神病组在三种精神病性症状缺陷方面表现出相当的受损程度。精神分裂症组多重标志物缺陷的发生率显著高于情感障碍组。精神分裂症样本中标志物之间不存在任何显著相关性,这支持了标志物缺陷独立性的假设。这些数据支持了这样一种理论,即当精神分裂症易感性的独立标志物同时出现且处于缺陷水平时,可能会引发精神分裂症。

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