缺陷型与非缺陷型精神分裂症的C型行为特征  

The C type behavior characteristic of deficit and nondeficit forms of schizophrenia

作　　者：谢国军[1] 吴庆丰[1] 许建雄[1] 雷素珍[1] 符毅[1] 刘锐[1] 祁富生[1] 

机构地区：[1]广东省佛山市第三人民医院精神科,佛山528041

出　　处：《中国行为医学科学》2007年第9期810-812,共3页Chinese Journal of Behavioral Medical Science

摘　　要：目的探讨缺陷型与非缺陷型精神分裂症与C型行为的关系。方法将符合CCMD-3精神分裂症诊断标准的男女患者各45名纳入研究,分别于治疗前和治疗8周后对患者进行简明精神症状评定量表（BPRS）、阳性与阴性症状量表（PANSS）评定和患者自行进行C型行为量表测定。并根据缺陷型精神分裂症的定义和治疗前的SAPS、SANS评分将患者分为缺陷型（30例）和非缺陷型（60例）2组。结果无论治疗前后,缺陷组的焦虑、抑郁、理智、控制分较非缺陷组低,社会支持分较非缺陷组高;与治疗前相比,治疗后缺陷组与非缺陷组的焦虑分[（26.25±3.69）分和（41.03±7.67）分]、抑郁分[（24.83±3.93）分和（40.61±6.07）分]均降低,控制分[（16.50±2.54）分和（19.91±4.21）分]、社会支持分[（19.50±2.78）分和（17.33±2.39）分]均升高。治疗后缺陷组精神症状缓解不全（BPRS〉35）,阴性症状改善不明显。结论缺陷组与非缺陷组有不同的C型行为特征。Objective To detect the relationship between deficit and nondeficit forms of schizophrenia with the C type behavior. Methods 90 patients, who met CCMD-3 criteria schizophrenia, were enrolled in the study. BPRS,SAPS,SANS, C type behavior were measured before treatment and 8 weeks after treatment. The patients were divided into deficit group （ 30 ） and nondeficit group （60）. Results Compared with nondeficit group, anxiety, depression, reason and control scores were lower, social support scores were higher in deficit group both pretreatment and posttreatment. Compared with pretreatment, anxiety （26.25 ± 3.69 and 41.03 ± 7.67 ） and depression（24.83 ± 3.93 and 40.61 ± 6.07） scores descended, control（ 16.50 ± 2.54 and 19.91 ± 4.21 ） and social support （19.50 ± 2.78 and 17.33 ± 2.39）scores increased in posttreatment both deficit and nondeficit group. However, posttreatment psychotic symptom had obvious （BPRS 〉 35 ） in deficit group, negative symptom had no visible change. Conclusion Deficit and nondeficit forms of schizophrenia have different C type behavioral character.

关 键 词：C型行为 精神分裂症 缺陷型 非缺陷型 

分 类 号：R686[医药卫生—骨科学]