分裂样精神病6年随访研究

目的：探讨分裂样精神病（简称ＳＦＰ）诊断归属及临床特征。方法：对经过６年随访仍维持ＳＦＰ诊断的４３例的临床资料进行分析，并与改诊为精神下（简称ＳＰ）６５例作比较。结果：１１５例患者中维持ＳＦＰ诊断４３例（３７．４％），改诊为ＳＰ６５例（５６．５％），改诊为情感性精神障碍７例（６．１％）。ＳＦＰ患者与改诊为ＳＰ患者比较，具有病前性格多外向，多社会心理因素诱发，检查合作程度高，阳性症状多，阴性症状少，

Six year follow up study of schizophreniform psychosis

Objective:To study the longitudinal course of schizophreniform psychosis Method:Clinical features of 115 patients with diagnosis of schizophreniform psychosis (SFP) and followed up for 6 years were analysed. Results:43 cases (37 4%) still retained the diagnosis of SFP. Diagnoses in 65 cases (58 5%) were revised to schizophrenia while seven cases (8 1%) were revised to affective disorder. Comparing those retaining the diagnosis of SFP and those revised to schizophrenia,the former were more likely to have extrovert premorbid personality, onset precipitated by psychosocial factors, cooperative attitude with examination, abundant positive symptoms and few negative symptoms, scarcity of thought alienation, little blunting of affect and volitional disturbance, good response to treatment and satisfactory short term prognosis. Conclusion:The study suggests schizophreniform psychosis is valid as an independent diagnostic entity.