Dergi Ara >>
Yıl:2007; Cilt: 3; Sayı: 12>> Özet
Türkiye Klinikleri Dahili Tıp Bilimleri Dergisi Psikiyatri; 2007;3(12):30-34
Şizotipal Kişilik Bozukluğu
B Baskak
Ankara Üniversitesi Tıp Fakültesi Psikiyatri ABD
Şizotipal Kişilik Bozukluğu (ŞKB) şizofreni spektrum bozuk­lukları arasında yer alan bir A kümesi kişilik bozukluğudur. Gerek klinik belirtiler gerek nöropsikolojik ve nöro-görüntüleme bulguları, ŞKB'nin prodromal dönem şizofreni ve şizofreni hastalarının akraba­larıyla ortak paydaları olduğuna işaret etmektedir. Ayrıca ŞKB'li bireyler genellikle hastanelere yineleyen yatışlar, uzun süreli antipsikotik kullanımı, damgalanma gibi kronik hastalık etkilerinden göreceli olarak uzak bir gruptur. Bu nedenle ŞKB üzerinde yapılan araştırmalar şizofreni etyopatogenezine ışık tutar. Bu gözden geçirme yazısında şizotipi ve ŞKB tanımlanmış, sınıflanması, belirtileri ve tedavi yaklaşımlarından bahsedilmiştir. ŞKB'nin kişilik boyutlarıyla ilişkisine değinilmiş, şizofreniyle ilişkisi ise bilişsel işlevler, klinik ve nörogörüntüleme bulguları temelinde tartışılmıştır.
Schizotypal Personality Disorder
Schizotypal Personality Disorder (SPD) is a cluster-A personal­ity disorder which is classified under schizophrenia spectrum disor­ders. Clinical characteristics and neuro-psychological and neuroimaging findings in SPD reveal that the' disorder has a similar profile with prodromal phase schizophrenia and non-psychotic relatives of schizo­phrenia patients. Besides, SPD patients are usually not exposed to chronic disease related factors like repeating hospitalizations, long term antipsychotic effects or stigmatization. Therefore studies on SPD contribute to understanding of schizophrenia etiopathogenesis. Defini­tions, classification, symptoms, and treatment methods of schizotypy and SPD are reviewed. Then the relation of SPD with schizophrenia is discussed in terms of neurocognition and neuroimaging.

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