精神分裂症病程与结局十二年随访  

12 year follow up study on the course and outcome of schizophrenia

作　　者：陈昌惠[1,2,3,4,5,6,7,8] 张维熙[1,2,3,4,5,6,7,8] 李淑然 王金荣[1,2,3,4,5,6,7,8] 王德平 瞿光亚 孟国荣 涂健 曹华光[1,2,3,4,5,6,7,8] 向孟泽 郭兰婷[1,2,3,4,5,6,7,8] 王光信 刘国清 翟质彬 罗开林[1,2,3,4,5,6,7,8] 张仲英 应志峰[1,2,3,4,5,6,7,8] 戴之屏 刘志广 

机构地区：[1]北京医科大学精神卫生研究所 [2]黑龙江省大庆市第三医院 [3]上海市精神卫生中心 [4]湖南省精神病医院 [5]华西医科大学附属第一医院心理卫生研究所 [6]吉林省神经精神病医院 [7]南京脑科医院 [8]辽宁省精神病防治院

出　　处：《中华精神科杂志》1998年第2期84-86,共3页Chinese Journal of Psychiatry

基　　金：世界卫生组织资助

摘　　要：目的了解我国精神分裂症长期结局。方法按世界卫生组织提供的方法及评定工具，于１９９４年对１９８２年调查的８个地区的８９例精神分裂症患者进行随访。结果直接随访的５８例在症状总体功能和社会缺陷总体功能评定中，分别有２８例（４８％）为结局好及较好者。结论近半数的患者为结局好或较好，可能与近年来普遍使用精神药物有关；同时，仅４０％的患者接受常规治疗，提示精神分裂症患者的社区康复工作仍有待加强。Objective This study investigated the long term outcome of schizophrenics. Methods A follow up study, with the method and instruments offered by World Health Organization, was performed in 1994 on the long term outcome of 89 schizophrenics identified in 8 urban areas of the 1982 epidemiological survey. Results Of the 89 cases, only 58 cases had completed directly the face to face interview. By Global Assessment of Functioning Scale Symptoms (GAF S) scoring, 28 cases (48%) were assessed as in good or fair outcome, while by Global Assessment of Functioning Scale Disability (GAF D) scoring, also 28 cases (48%) were assessed in good or fair outcome. Conclusion Though 48% of schizophrenics showed a good or fair outcome due to possible treatment with new neuroleptic in recent years, only 40% patients had received regularly medication, indicating further efforts are urged to strengthen mental health services for schizophrenic patients in communities.

关 键 词：精神分裂症 治疗 社会适应 病程 

分 类 号：R749.3[医药卫生—神经病学与精神病学]