单纯型精神分裂症

单纯型精神分裂症ICD-10分类为F20.6,[1]在ICD-9的代码是295.00 - 295.05[2]

诊断

与所有精神分裂症患者相比,单纯型精神分裂症在年轻者中最多见,并被认为从大约从童年开始。 即使单纯型精神分裂症患者沒有妄想、幻觉和合作困难,他們還是會缺乏意志、思维贫乏和情感冷漠。 缺乏动机增多和社會化减少的普遍功能恶化[3][4]。此症被认为是罕见、没有思维失调症状的一种精神分裂症(Mueser & Jeste 2008)[5]

反对

此类型精神分裂症的定义是不一致的,或有争议的,也可以说成是观点有分歧。此分类已经在U.S. DSM系统中停止,尽管被建议重新加入(Black & Boffeli 1989),[6]之后被证实有根据不同描述的不确定的诊断标准 (Black & Boffeli 1990)[7]

支持

一个小样本容量(五人)的实验发现单纯型(DSM-IV simple deteriotive disorder)患者灰质缺乏、额区萎缩和减少的脑灌注(Suzuki 2005)[8]。Whitwell et al 2005年发现,发现了由于此分类“维度性”考虑,在实践基础上保留此分类的正当性,与使用其他分类的判断方向之判断所产生的意见截然相反[9]

定义的历史

诊断的历史

参考

  1. ^ World Health Organisation - International Statistical Classification of Diseases and Related Health Problems - Classification of Mental and Behavioural Disorders页面存档备份,存于互联网档案馆) RETRIEVED 2012-01-21
  2. ^ U.S. Department of Health and Human Services页面存档备份,存于互联网档案馆) RETRIEVED 2012-01-21
  3. ^ Brown University - Schizophrenia DSM-IV TR#295.1-295.30, 295.90)页面存档备份,存于互联网档案馆)RETRIEVED 2012-01-22
  4. ^ Baiceng Lou, Thomas Dey - Soothing the troubled mind: acupuncture and moxibustion in the treatment of schizophrenia Paradigm Publications, 1999页面存档备份,存于互联网档案馆) RETRIEVED 2012-01-22
  5. ^ Kim Tornvall Mueser & Dilip V. Jeste页面存档备份,存于互联网档案馆) 2008 - Clinical Handbook of Schizophrenia - 650 pages Guilford Press, 27 Mar 2008页面存档备份,存于互联网档案馆) RETRIEVED 2012-01-22 ISBN 1593856520
  6. ^ Black DW, Boffeli TJ. - Simple schizophrenia: past, present, and future. Am J Psychiatry. 1989 Oct;146(10):1267-73. PMID: 2675642 RETRIEVED 2012-01-21
  7. ^ Donald W. Black, Todd J. Boffeli - Simple schizophrenia: Revisited pubhlished in Comprehensive Psychiatry July–August 1990 Copyright © 1990, Elsevier页面存档备份,存于互联网档案馆) RETRIEVED 2012-01-22
  8. ^ Suzuki M, Nohara S, Hagino H, Takahashi T, Kawasaki Y, Yamashita I, Watanabe N, Seto H, Kurachi M. - Prefrontal abnormalities in patients with simple schizophrenia: structural and functional brain-imaging studies in five cases. Psychiatry Res. 2005 Nov 30;140(2):157-71. Epub 2005 Oct 21. ncbi.nlm mendeley[永久失效連結] RETRIEVED 2012-01-22
  9. ^ Susannah Whitwell, Jessica Bramham and John Moriarty 2005 - Simple schizophrenia or disorganisation syndrome? A case report and review of the literature Advances in Psychiatric Treatment (2005) 11: 398-403 doi: 10.1192/apt.11.6.398 页面存档备份,存于互联网档案馆) © 2012 The Royal College of Psychiatrists RETRIEVED 2012-01-22