哈氏分类测验与精神分裂症类型及症状的关系

The relationships between the Halstead Category Test and the types and symptoms of schizophrenia

目的探讨哈氏分类测验与精神分裂症临床分型及其症状的相关性，界定哈氏分类测验对精神分裂症诊断和治疗效果的评价作用。方法从现有的数据库中选取638例精神分裂症患者，分别对其哈氏分类测验分数与精神分裂症临床分型，以及AMDP中的各个分项进行相关分析和单因素分析。结果年龄是影响哈氏分类测验的重要因素；各精神分裂症类型中只有器质性精神分裂症与哈氏分类测验有显著相关；在AMDP的症状中，知觉能力与哈氏分类测验呈负相关，自我幻觉和现实感丧失与哈氏分类测验呈正相关。结论年龄的增长可使执行功能逐渐减弱；哈氏分类测验可作为精神分裂症早期诊断与治疗效果评价的手段。

Objective To explore the correlations between the Halstead Category Test（HCT） and clinical types and symptoms of schizophrenia in order to define evaluatiing effects of the HCT on diagnosis and curative effects of schizophrenia. Methods Correlations and uni-factor analyses were performed on HCT scores and types of schizophrenia as well as each subitem of the AMDP in 638 schizophrenics selected from available database. Results Age is an important factor influencing HCT performance;of subtypes of schizophrenia only organic schizophrenia was significantly related to the HCT;showed significant relation with the HCT. Among the AMDP symptoms, perceptibility was negatively related to HCT, self-hallucination and derealization positively to. Conclusion Increasing age makes executive functions taper; the HCT can be regarded as a tool for early diagnosis and treatment evaluation in schizophrenia.