精神分裂症的性别差异  

Gender differences in schizophrenia

作　　者：陶然[1] 史杰萍[2] 武鸣[1] 张小娟[3] 寇长贵[2] 向全永[1] 俞琼[2] 于雅琴[2] 

机构地区：[1]江苏省疾病预防控制中心,南京210009 [2]吉林大学公共卫生学院基因组医学研究中心 [3]上海市闸北区疾病预防控制中心

出　　处：《临床精神医学杂志》2009年第1期40-41,共2页Journal of Clinical Psychiatry

基　　金：国家自然科学基金资助项目(30671808);国家重点基础研究发展计划(973计划)资助项目(2004CB518601);吉林省科技发展计划资助项目(200505135)

摘　　要：目的:探讨精神分裂症患者的性别差异。方法:收集240例不同性别精神分裂症患者的首次发病年龄、病程、阳性家族史、临床症状、病前人格和诊断分型等资料,并进行分析比较。结果:首次发病年龄、病程和阳性家族史无性别差异,读心症、钟情妄想、其他妄想、思维逻辑性障碍和怪异行为等阳性症状在男性患者组和女性患者组中的分布差异有显著性,其他阳性症状及阴性症状在两组中的分布差异无显著性。结论:精神分裂症患者的阳性症状存在性别差异,女性精神分裂症患者的临床症状多表现为阳性症状。Objective： To investigate the gender differences in schizophrenia. Method：The data of 240 schizophrenic patients were collected and the age of first onset, course of disease, family history, clinical symptoms and personality before illness and diagnosis were analyzed. Results：There were no differences between male and female schizophrenic patients in the age of first onset, course of disease and family history. But there was significant difference between male and female in the clinical positive symptoms, such as the experience of being revealed, delusion of love, other delusion, illogic thinking and bizarre behavior. There was no significant difference in the negative and other clinical positive symptoms between male and female schizophrenic patients. Conclusion： There are gender differences in the positive clinical symptoms of schizophrenia. Most female schizophrenic patients display clinical positive symptoms.

关 键 词：精神分裂症 性别差异 

分 类 号：R749.3[医药卫生—神经病学与精神病学]