分裂样精神病6～7年随访研究

6-7-Year Follow-Up Study for Schizophreniform Psychosis

目的:探讨分裂样精神病(SFP)诊断的有效性及其转归。方法:对出院诊断为SFP的60例患者采用再住院调查、门诊随访、电话随访3种方式进行追踪研究。结果:出院诊断为SFP的60例中,经6～7年随访,改诊为精神分裂症45例(75.0%),心境障碍2例,癔症性精神病1例,维持SFP诊断者12例(20.0%)。结论:SFP诊断的有效性很差,能否成立疾病单元,尚需大样本长期追踪验证。

Objective：To investigate diagnosis effectiveness and prognosis of schizophreniform psychosis （SFP）. Methods ：60 discharged SFP patients were selected for follow - up study through rehospitalization investigation, clinic follow - up and telephone fol- low - up. Results ： After 6 - 7 - year follow - up for the 60 discharged SFP patients, 45 patients （75.0%） were re - diagnosed as schizophrenias, 2 cases as mood disorder, and 1 case as hysterical psychosis; however, 12 cases were still diagnosed as SFP （20. 0% ）. Conclusions： The diagnosis effectiveness of SFP is poor. Long - term observation and a large number of cases are needed to de- cide if a disease unit could be established.