首发精神分裂症患者235例前驱症状问卷调查  

Questionnaires for prodromata in 235 patients with first-episode schizophrenia

作　　者：韩永华[1] 闫俊[1] 钱秋瑾[1] 司天梅[1] 孔庆梅[1] 潘超[1] 汪毅[1] 巩凤琴[1] 钱英[1] 朱日升[1] 

机构地区：[1]北京大学第六医院综合一科,北京市100083

出　　处：《中国临床康复》2005年第8期62-63,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:分析首发精神分裂症患者前驱症状发生情况,以及其与精神分裂症发生发展的关系。方法:应用前驱症状问卷对北京大学精神卫生研究所和门诊已被确诊、病程限定在5年以内的首发精神分裂症患者235例进行调查。结果:235例精神分裂症前驱症状发生率高于50%的症状有:焦虑、易激惹(68.1%);抑郁情绪反应(60.0%);人际关系差、社会活动交往困难(54.9%);独自呆坐、寡言少语(53.6%);精力不足、主动性差(54.5%);猜疑或偏执观念(58.7%);睡眠障碍(54.9%);注意力不集中(56.6%)。分析其中196例精神分裂症偏执型的前驱症状发生率与总体发生率基本类同。结论:精神分裂症的前驱症状以生活被动、主动性较差、敏感多疑、注意力不集中为主,这些非特异性的前驱症状在精神分裂症的发病中起到重要作用。AIM:To analyze the attacks of prodromata to the first-episode schizophrenic patients and their relationships with the episode and development of schizophrenia. METHODS:The questionnaires for prodromata were surveyed in 235 first-episode schizophrenic inpatients and outpatients in the Institute of Mental Health,Peking University,who have been finally diagnosed and had a recent 5-year course. RESULTS:The prodromata in 235 cases of first-episode schizophrenia with the incidence above 50%were as follows:the rate of anxiety and testiness was 68.1%,the rate of depressive reaction was 60.0%;the rate of bad interpersonal relationships and difficulty in social activities was 54.9%,the rate of taciturnity and sitting about solely was 53.6%;the rate of being undynamic and passiveness was 54.5%;the rate of suspiciousness or crankiness was 58.7%,the rate of sleep disorder was 54.9%and the rate of scatterbrain was 56.6%.The incidence of prodromata among 196 cases of schizophrenic patients(paranoid) was close to the total incidence. CONCLUSION:The prodromata of schizophrenia are mainly living passively,inactiveness,susceptivity and suspiciousness,and inattention.Some nonspecific prodromata play important roles in the episode of schizophrenia.

关 键 词：精神分裂症 问卷 精神病状态评定量表 

分 类 号：R749.3[医药卫生—神经病学与精神病学]