查詢結果分析
來源資料
頁籤選單縮合
題 名 | Clinical Validity and Prevalence of the Deficit Subtype of Schizophrenia=精神分裂症之缺損症候群亞型的臨床效度與盛行率 |
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作 者 | 黃宗正; 劉智民; 劉絮愷; 許惠珍; 鄭若瑟; 林世光; 胡海國; | 書刊名 | 臺灣精神醫學 |
卷 期 | 15:4 2001.12[民90.12] |
頁 次 | 頁299-309 |
分類號 | 415.983 |
關鍵詞 | 缺損症候群亞型; 缺損症候群診斷表; 正性與負性症狀量表; 精神分裂症; Deficit subtype; Schedule for the deficit syndrome; Positive and negative syndrome scale; Schizophrenia; |
語 文 | 英文(English) |
中文摘要 | 目的:以前瞻性追蹤設計探討136位精神分裂症缺損症候群亞型的臨床效度與盛行率。方法:在指標住院一年後,根據缺損症候群診斷手冊將136位連續住院個案分類為有無缺損症候群,並比較兩群個案自然病程中的臨床變項(包括人口學、病前特點,病程,指標住院,精神症狀,及一年預後等)。結果:經過一年追蹤,16 (11.8%) 位個案被歸類為缺損症候群亞型,117 (86%) 位非缺損症候群亞型,3 (2.2%) 位不確定。缺損症候群亞型比非缺損症候群亞型明顯有較多病前孤立型人格,病前適應障礙,嚴重思考障礙,及較差之長程功能。這些發現無法歸因於人口學、病程長短、藥量、憂鬱及活性病狀嚴重之差異。結論:本研究發現缺損症候群亞型在136位連續住院個案中佔了11.8%,並支持它是較具臨床效度及同質性的精神分裂症亞型。 |
英文摘要 | Objective: To explore the validity and prevalence of the deficit subtype of schizophrenia in 136 patients in a prospective follow-up study. Methods: These 136 consecutively admitted patients were classified according to the Schedule for the Deficit Syndrome 1 year after index admission. Natural history validators (including demographic and premorbid characteristics, course, index admission, clinical symptoms, and 1-year outcomes) were compared between the deficit and nondeficit groups. Results: After 1-year follow-up, 16 patients (11.8%) were classified as the deficit subtype, another 117 patients (86.0%) as nondeficit schizophrenia, and the remaining 3 patients (2.2%) as equivocal. Compared to nondeficit schizophrenic patients, patients with deficit syndrome were significantly more likely to have premorbid isolated personality traits, premorbid adjustment difficulties, more-severe thought disorders, and poorer 1-year functional outcomes. These findings cannot be attributed to group differences in demographic characteristics, chronicity of illness, dosage of antipsychotics, depression, or severity of positive symptoms. Conclusion: This study reveals that the deficit subtype represents 11.8% of consecutively admitted schizophrenic patients. The distinct clinical features and outcomes support that the deficit subtype is a valid and more-homogenous subtype of schizophrenia. |
本系統中英文摘要資訊取自各篇刊載內容。