有精神病性症状躁狂发作的临床特征研究.pdfVIP

有精神病性症状躁狂发作的临床特征研究 阳琼苗圆栋徐贵云薛士健温全球李爱凰吴福喜何柱国 【摘要l目的探讨有精神病性症状的躁狂发作的临床特征。方法使用自嫡的一般情况问卷厦有精神病性症 状的碌狂发作的精神症状调查问卷t共收集135例。有精神病性症状的蹂狂发作”患者，井根据患者的精神病性症 状是否与心境相协调进一步分成两组(非典型组59侧争典型组76例)，比较两组闻临床责料的异同。结果在 有精神病性症状的菲狂发作中，伴有与。境不协调的精神病性症状的非典型蹂狂发作占43．7％、伴有与心境协 调的精神病性症状的典型踩狂发作占56．3％，非典型躁狂发作在起病形式、病程特点、病前社会功能、病前性格、 首发症状及近期疗效与典型蹂狂发作相比有显著性差畀(Po．05)，典型组在起病形式上以患性起病者居多．病 程多表现为问歇性病程．病前社套井能良好，性格以外向者居多，多以情感症状为首发症状压近期疗效相对较好。 结论伴有与心境协调的精神病性症状的典型躁狂发作和伴有与心境不协调的精神病性症状的非典型躁狂发作 在临床上均极为常见，非典型躁狂发作为躁狂发作的一十特珠的亚型，我们应对其加强认识． 【关键词】菲狂发作精神病性症状 【中图分类号】R749．4 【文献标识码】A Theclinic manic with on t study episodepsychoticsymptoms．yANGQiong 510370，既ina a1．GuangzhouPsychiatricHospital，C-．uangdong To theclinicfeatureofmanic with A [Abstract】Objectiveexplore episodepsychotic totalof135manic with wereassessedthe Generallnfor- patientspsychoticsymptoms by self-compiled episode marion themanic with thebasisof episode investigate Inventory(GII)and psychoticsymptoms inventory．On the between andmood·the weredividedintotwo ca— harmony symptoms patients groups(59 psychotic atypical sesand76 cases)andtheclinicfeatureswere betweenthetwo 43．7％of typical compared groups．Resultspa- tlentswere manic 56．3％ofthe were manic atypicalepisode(mood-incongrucnee)andpatientstyplcal episode manic with Were differencesin of (mood-congruence)inepisodepsychoticsymptoms．Theresingnifieant type of functionand beforethe onset，characteristicsduration，so