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Yıl:2010; Cilt: 3; Sayı: 2>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2010;3(2):30-37
Şizofrenide Prodromal Dönem: Tanı, Klinik Belirtiler, Ayırıcı Tanı Ve Tedavi Sorunu
ÜB Semiz, O Yılmaz
GATA Haydarpaşa Eğt. Hastanesi
Şizofreni ile ilgili ulaşılan psikofarmakolojik, nörogelişimsel ve teorik gelişmeler, şizofreniye koruyucu girişimler konusu üzerine ilgiyi arttırmaktadır. Mevcut bilgilere göre, erken tedavinin daha iyi prognozla ilgili olduğu düşünülmektedir. Bununla birlikte, şizofreni gelişimine yatkın bireylerin saptanması, prodrom döneminin belirtilerinin ve bulgularının tam olarak ortaya konması, koruyucu sağaltıma gerçekten gereksinimi olan bireylerin belirlenmesi, gelişimin hangi aşamasında prodrom dönemi sağaltımının başlanması, bu sağaltımın ne kadar sürdürülmesi gerektiği, hangi sağaltımın en uygun olduğu halen üzerinde araştırma yapılan konulardır. Uygun olmayan tıbbi müdahalelerin, maddi, psikososyal ve etik sorunları da beraberinde getireceği, araştırmalar sırasında göz önünde bulundurulmalıdır
The Schizophrenia Prodrome: Diagnosis, Clinical Signs, Differential Diagnosis And Treatment Issues
The psychopharmacological, theoretical and neurodevelopmental advances in schizophrenia have led to an increasing interest in preventive interventions in schizophrenia. According to the current data, early treatment is associated with a better prognosis. In addition, detecting the individuals at high risk for developing schizophrenia, identifying the signs and symptoms of the prodrome phase definitely, at what developmental point in the prodrome medication should be initiated, how long medication should be continued, what medication is optimal are the issues to be researched. While making explorations, it should be taken into account that, inconvenient medical interventions would result in economical, psychosocial and ethical problems.

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