【摘要】 157例病期在2年以上的慢性精神分裂症病人的多维度测量及评价,显示本组病人阳性症状较轻,且出现频度也较低。阳性症状虽能影响社会功能,但严重程度与功能缺陷程度可不平行,它是一组以幻觉、妄想为主的精神病理学的损伤性症状。阴性症状是本组病人的主要表现,其出现频度在各等级残中远高于阳性症状。功能缺陷与阴性症状的关联也比阳性症状更为密切。SANS 中的第三、四、五分量表对社会功能缺陷有预示作用。研究提示,功能缺陷与总病期、首次发病年龄、复发次数及抗精神病药物剂量无密切联系,而功能缺陷程度与操作性学习困难呈密切负相关。更多还原

【Abstract】 In this study,157 chronic schizophrenic in-patients with the durations over 2 years were as-sessed by multiple dimensions of symptoms and psychological disabilities.It was showed that the patients hasslight positive symptoms with low frequencies.Although the positive symptoms can influence the social func-tion,the severity did not match in mental disabilities.We suggested that psychiatric disabled caused by psy-chological impairmint might have positive psychopathological features,such as delusiona and hallucinations.Negative symptoms were major manifestation,the frequencies were far more than positive ones in theschizophrenic disabilities,and the relation with disabilities were more close as comparison with the positiveones.We suggested that the 3th,4th,and 5th subscales of SANS may be used for the indication of socialfunctions of chronic schizophrenic patients.The date showed that mental disability were not related to theduration of the disease,the age of onset,the time of ralapse and the dosages of antipsychotic drug.We alsofound that acquired operation skills of the patients were closely related to negative symptoms with negativecorrelation.更多还原