만성 정신분열증 환자에서 Schneider의 일급증상의 예후적 가치에 대한 연구

• 영문명: A Study for Prognostic Values of Schneiderian First-Rank Symptoms in Chronic Schizophrenics
• 발행기관: 대한신경정신의학회
• 저자명: 유태익 김종원 이영호
• 간행물 정보: 『신경정신의학』제32권 제4호, 492~499쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1993.07.30

영문 초록

In order to investigate the prognostic values of Schneiderian first-rank symptoms in chronic schizophrenis, the authors divided the subjects, 40 patiens with schizophrenia, into two groups according to the presence or absence of Schneiderian first-rank symptoms. We compared the premorbid and morbid factors, which might be associated with long term outcome between two groups, and also short term outcome of response to antipsychotics. The results were as follows ; 1) Among total 11 outcome predict factors, only three factors，social-personal adjustement(p〈 0.05), depression(p<0.05), and duration from onset to first admission(p<0.01), were different between two groups. 2) There was no significant difference in short term treatment responses between two groups. 3) Among four symptomatic prognostic factors, which are depression, guilt, emotional blunting and Schneiderian first-rank symptoms, Schneiderian first-rank symptom was related to BPRS score on admission only, but emotional blunting was related to BPRS score during all periods of assessment. These findings suggest that the prognostic value of Schneiderian first-rank symptoms is not so notable in both long term and short term outcome. Rather emotional blunting is significantly correlated with short term treatment response

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키워드

Schizophrenia Schneiderian first-rank symptoms Prognostic values