【摘要】 目的 调查门诊精神分裂症(包括分裂样精神病)患者首诊时影响确诊的相关因素。方法 对于1999年1月及2002年1月在上海市精神卫生中心门诊首次就诊的患者,进行回顾性调查后,分为三组:确诊组(首诊确诊为分裂症)、延迟诊断组(首诊未确诊为分裂症)和更改诊断组(首诊为分裂症,随访后诊断被更改),分析各组资料的差异。结果 诊断为分裂症的患者中有27.9％的需经一次以上随访才能确诊,6.7％的首诊为分裂症者在随访中被重新诊断。分裂性症状,情感性症状,Schneider一级症状,患者年龄,医师年资在组间存在显著性差异。结论 精神症状,患者年龄,医师经验是影响门诊精神分裂症首诊确诊的主要因素。更多还原

【Abstract】 Objective: To survey the relative factors of definite diagnosis for first-visit schizophrenia (including schizophrenia-like psychosis) in outpatients. Methods:We investigated 162 first-visit schizophrenic outpatients, during the period from January 1999 to January 2002, divided them into three groups: definite diagnosis group (diagnosed exactly on the first time), delayed group ( diagnosed in follow-up) , misdiagnosis group (diagnosed with the other category). Single factor analysis was used to find difference. Results: 27.9% schizophrenics had more than 1 time outpatient visit before definite diagaosis was sct, while 6. 7% patient whose diagnoses changed into other diagnostic labels. There were some significant differences of the diagrostic factors between groups, such as: achizophrenic symptom, affective symptom, Schneider’s first rank symptom, age of patient and seniority of doctor. Conclusion: The main relative factors for definite diagnosis in first-visit schizophrenis were psychotic symptoms, age of patient and seniority of doctor.更多还原