儿童与少年首发精神分裂症早期症状的特点分析

Analysis of clinical features of early symptoms in childhood and adolescent schizophrenia

目的探讨儿童与少年首发精神分裂症早期症状的特点。方法将120例符合ICD-10中儿童与少年精神分裂症的患者用自编精神病早期症状调查表进行回顾性调查。结果发生率大于50%的早期症状为(按从高到低排列):学习成绩下降、注意力下降、呆愣、孤僻内向、烦躁、情绪低落、责任心下降等。结论正确识别儿童与少年首发精神分裂症的早期症状,有助于及时就诊和早期干预,有利于患儿的精神和社会功能康复。

Objective To explore the features of early symptoms of early onset schizophrenia in children and adolescents. Methods 120 children and adolescents with schizophrenia met ICD-10 criteria were collected and performed the retrospective survey by self-designed early psychosis symptom scale. Results Early symptoms with the incidence rate of more than 50 % （in descending order） included poor academic performance, decreased attention, apathy, unsociability and introversion, irritability and restlessness, depression,decreased sense of responsibility and so on. Conclusion We conclude that it is very important to identify the early symptoms of children and adolescents with schizophrenia accurately. Timely diagnosis and intervention will help patients to get early treatment and inhabilitation,and improve their social function and prognosis.