亚型分类在理解精神分裂症疾病进程中的作用：“缺陷综合征”举例
徐教授[1]对精神分裂症亚型的应用进行了贴切而有说服力的描述,提出了今后需要继续以其他方式对其进行分型的观点。他指出,作为可观察到的临床＂表型＂,精神分裂症的分型很早就得以使用,并且一直被用于指导精神分裂症的诊断和治疗。尽管历史悠久,但是来自上海和西方国家的研究表明[2,3],由美国和欧洲国家所定义的精神分裂症亚型中,除了偏执型和未定型精神分裂症以外,其他亚型很少使用,仅有不足5%的精神分裂症患者被诊断为这些亚型。而且,广泛使用的亚型诊断并不稳定：在整个疾病过程中,...
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| Published in | 上海精神医学 Vol. 23; no. 2; pp. 109 - 111 |
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| Main Author | |
| Format | Journal Article |
| Language | Chinese |
| Published |
流行病学研究室,哥伦比亚大学,纽约,10032,美国%心理学研究室,哥伦比亚大学,纽约,10027,美国%流行病学研究室,纽约大学,纽约,10003,美国
2011
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| Subjects | |
| Online Access | Get full text |
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| Summary: | 徐教授[1]对精神分裂症亚型的应用进行了贴切而有说服力的描述,提出了今后需要继续以其他方式对其进行分型的观点。他指出,作为可观察到的临床＂表型＂,精神分裂症的分型很早就得以使用,并且一直被用于指导精神分裂症的诊断和治疗。尽管历史悠久,但是来自上海和西方国家的研究表明[2,3],由美国和欧洲国家所定义的精神分裂症亚型中,除了偏执型和未定型精神分裂症以外,其他亚型很少使用,仅有不足5%的精神分裂症患者被诊断为这些亚型。而且,广泛使用的亚型诊断并不稳定：在整个疾病过程中, |
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| Bibliography: | Professor Xu[1]provides a thoughtful and eloquent description of the utilization of schizophrenia subtypes,and presents a compelling argument for their continued use in modified form.He notes that subtypes in schizophrenia have a rich history as observable clinical ＇phenotypes＇ and have been used to guide prognosis and treatment for generations.Despite this history,reports from Shanghai and from Western researchers[2,3]indicate that except for paranoid and undifferentiated schizophrenia most of the other subtypes of schizophrenia defined in the United States and Europe are rarely used;less than 5% of patients with schizophrenia receive these diagnoses.Moreover,the more commonly used subtypes are not stable over time：only a small proportion of those diagnosed with the paranoid subtype and an even a smaller proportion diagnosed as undifferentiated subtype retain the diagnosis over the course of their illness[4].These issues and the long-standing problem of the varying the number of ＇core＇ subtypes identified by |
| ISSN: | 1002-0829 |