摘要
目的：探讨精神分裂症的诊断变化规律，提高诊断准确性。方法：用纵向分析的研究方法，对８０７例精神分裂症（包括分裂样精神病）患者的诊断进行分析。结果：第一次诊断与最后一次诊断比较，大多数首诊为精神分裂症的患者最后没有发生变化。结论：精神分裂症具有较高的诊断稳定性。分型中的偏执型最为稳定，提示可能系一独立的疾病单元。诊断发生变化者趋向于情感性精神障碍较多。
Objective:To study the stability and change of the diagnosis of schizophrenia over time. Method:Clinical data of 807 sudjects with the diagnosis of schizophrenia (including schizophreniform psychosis) were analysed to study the change of diagnosis over time. Results:The diagnosis in the majority of cases remained unchanged with the paranoid subtype being most stable.Those requiring revision were changed mainly to affective disorder. Conclusion:The diagnosis of schizophrenia is stable over time.The‘ultra’stable nature of the paranoid subtype suggests a distinct disease entity.The revision of the diagnosis of schizophrenia commonly roots in the difficulty to isolate the affective symptoms.
出处
《临床精神医学杂志》
1998年第5期278-279,共2页
Journal of Clinical Psychiatry
