Dergi Ara >>
Yıl:1995; Cilt: 6; Sayı: 3>> Özet
Türk Psikiyatri Dergisi; 1995;6(3):163-168
Şizofrenide Belirti Dağılımının Klinik Gidiş Özellikleri ve Bölgesel Beyin Kan Akımlarıyla İlişkisi
B VEZNEDARO?LU, L METE, Ş AKBAY, S ERDEM, M ARGON, N KARACA, U SEYFİO?LU, H ELBİ, Y DUMAN, R SAYGILI
Bu çalışmada, şizofrenik hastalarda belirti dağılımı ve bu dağılımın bölgesel beyin kan akımları ve klinik gidiş özelikleriyle ilişkisini araştırdık. Belirtiler, piskolojik ve motor işlevlerde azalma dezorganizasyon ve gerçeği değerlendirmede bozukluk şeklinde ayırt edilebilen üç boyutta kümelenmekteydi. Öte yandan, bölgesel beyin kan akımları ve klinik gidiş özellikleriyle ilişkilerine bakıldığında, psikolojik ve motor işlevlerde azalma ve dezorganizasyon boyutlarının benzer özellikler gösterdikleri, gerçeği değerlendirmedeki bozukluğun ise söz konusu bileşenlerle aynı şekilde ilişkili olmadığı saptandı. Bu durum, psikolojik ve motor işlevlerde azalma ve dezorganizasyonun, farklı klinik görünümlerine karşın, benzer psikopatolojik süreçlerle, gerçeği değerlendirmede bozukluğun ise farklı bir psikopatolojik süreçle ilişkili olduğunu düşündürmektedir.

Symptom Patterns in Schizophrenic Patients and Their Relationship with Regional Cerebral Blood Flow and Clinical Course
In this study, the symptom patterns in schizophrenic patients and their relationship with regional cerebral blood flow and clinical course were investigated. Factor analysis revealed that the symptoms segregated into three syndromes as psychomotor proverty, disorganization and reality distortion. The psychomotor poverty, and disorganization were correlated with regional cerebral blood flow and clinical course, while reality distortion was not. These results suggest that psychomotor proverty and disorganization are derived from similar psychopathologic processes, but reality distortion is related to a different one

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