分裂情感性精神病诊断稳定性分析

目的　探讨分裂情感性精神病诊断的稳定性与诊断准确率。方法　对 6 3例分裂情感性精神病患者的首诊与末诊进行分析。结果　首次诊断为分裂情感性精神病 2 9例 ,其中 2 0例 (6 9.0 % )始终维持原诊断 ,9例 (31.0 % )诊断发生变化 ;原诊断为其他精神疾病 ,末次诊断为分裂情感性精神病 30例。将诊断变化仅与精神分裂症有关者同诊断仅与情感障碍有关者比较 ,在性别、学历、家族史等方面差异无显著性 ,在起病年龄、病程方面差异有显著性 (P <0 .0 5 )。结论　分裂情感性精神病具有一定的诊断稳定性 ,尤其是首诊为分裂情感精神病者

The diagnostic stability of schizo-affective psychosis

Objective To explore diagnostic stability and accurate rate of schizo-affective psychosis. Methods First- and last-diagnoses of 63 patients with schizo-affective psychosis were analyzed. Results 29 patients were first diagnosed as schizo-affective psychosis, among them 20(69.0%) maintained the diagnosis and the diagnoses of 9(31.0%) changed; among the patients who were first diagnosed as other psychoses,30 were last diagnosed as schizo-affective psychoses. Comparisons between changes of diagnosis and schizophrenia or affective disorder showed that differences in sex, educational background and familial history were no significant and that in age of onset and course significant(P<0.05). Conclusion The diagnosis of schizo-affective psychosis has certain stablility, especially in the patients who were first diagnosed as schizo-affective psychosis.