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躁狂症中紧张症症状的患病率及临床意义。

Prevalence and clinical significance of catatonic symptoms in mania.

作者信息

Bräunig P, Krüger S, Shugar G

机构信息

Westfälisches Zentrum für Psychiatrie, University of Bochum, Germany.

出版信息

Compr Psychiatry. 1998 Jan-Feb;39(1):35-46. doi: 10.1016/s0010-440x(98)90030-x.

Abstract

The study investigates the prevalence, clinical characteristics, and implications of catatonic symptoms in mania. Sixty-one inpatients with DSM-III-R bipolar disorder (BD), manic or mixed episode, established by the Structured Clinical Interview for DSM-III-R (SCID) were assessed for the presence of catatonic by a 21-item rating scale. Nineteen patients fulfilled criteria for catatonic mania, exhibiting between five and 16 catatonic symptoms. Catatonic manics had more mixed episodes, more severe manic symptoms, more general psychopathology, a higher prevalence of comorbidity, a longer hospitalization, and lower Global Assessment of Functioning (GAF) scores than the noncatatonics. The results indicate that catatonic symptoms are a marker of a more severe course and outcome in mania.

摘要

该研究调查了躁狂症中紧张症症状的患病率、临床特征及影响。通过DSM-III-R结构化临床访谈(SCID)确诊为DSM-III-R双相情感障碍(BD)、躁狂或混合发作的61名住院患者,使用21项评定量表评估是否存在紧张症。19名患者符合紧张性躁狂症标准,表现出5至16种紧张症症状。与非紧张症患者相比,紧张性躁狂症患者有更多的混合发作、更严重的躁狂症状、更普遍的精神病理学表现、更高的共病患病率、更长的住院时间以及更低的功能总体评定量表(GAF)得分。结果表明,紧张症症状是躁狂症更严重病程和结局的一个标志。

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