QUALITY OF THOUGHT-DISORDER IN DIFFERENTIAL-DIAGNOSIS
QUALITY OF THOUGHT-DISORDER IN DIFFERENTIAL-DIAGNOSIS
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DOI：
10.1093/schbul/12.3.360
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发表时间：
1986-01-01
影响因子：
6.6
通讯作者：
SOLOVAY, MR
中科院分区：
文献类型：
--
作者：
HOLZMAN, PS;SHENTON, ME;SOLOVAY, MR
作者使用了一个可靠的量表来评估躁狂症、精神分裂症、情感性躁狂症和情感性抑郁症患者思维障碍的数量和质量。高水平的思维障碍发生在所有的精神病组，除了在情感性抑郁症组。躁狂症患者的思维障碍表现为突出的组合思维，以及不相关的想法侵入话语流，通常是轻率和幽默的。精神分裂症患者的思维混乱而流畅，通常夹杂着许多特质和特殊的单词和短语。虽然情感性躁狂患者在表现组合思维的倾向上与躁狂症患者相似，但他们的作品缺乏躁狂症患者的幽默感。情感性躁狂症患者在产生特异质言语和思维混乱方面更类似于精神分裂症患者。分裂情感性抑郁症患者的输出明显受限，但也会产生一些值得注意的荒谬反应，在这方面与精神分裂症患者相似。作者认为，精神分裂症和躁狂症的思维障碍的性质不同，情感障碍的思维障碍类似于精神分裂症。
The authors used a reliable scale to assess quantity and quality of thought disorder in manic, schizophrenic, schizoaffective manic, and schizoaffective depressed patients. High levels of thought disorder occurred in all psychotic groups except in the schizoaffective depressed group. Manic patients produced thought disorders that revealed both prominent combinatory thinking and intrusions of irrelevant ideas into the stream of discourse, usually with flippancy and humor, The thinking of schizophrenic patients was confused and fluid, and usually peppered with many idiosyncratic and peculiar words and phrases. Although schizoaffective manic patients resembled manics in their tendency to show combinatory thinking, their productions lacked the jocularity of the manics. The schizoaffective manic patients more strongly resembled the schizophrenic patients in their production of idiosyncratic verbalizations and in confused thinking. Schizoaffective depressed patients showed a strikingly constricted output, but produced a few noteworthy absurd responses, and in that respect resembled the schizophrenic patients. The authors suggest that quality of thought disorder differs in schizophrenia and in mania, and that the thought disorder of schizoaffective conditions resembles that of schizophrenia.