摘要
目的研究大学一年级(大一)新生精神病风险综合征(PRS)的早期识别及症状特征。方法选取2019年11-12月九江学院大一新生1494例为筛查对象,以精神病前驱期问卷16条目版本(PQ-16)≥6分且通过PRS结构式访谈(SIPS)后被诊断为PRS的69例为PRS组,PQ-16<6分通过SIPS未被诊断为PRS的70例为非PRS组。比较两组PRS早期识别情况、PRS的类型及PRS的症状特征。结果PRS组新生PRS早期检出率(4.71%)高于非PRS组(0),差异有统计学意义(P<0.05);PRS组中轻微阳性症状综合征(APSS)类型67例,占比97.10%;遗传风险及功能恶化综合征(GRDS)类型2例,占比2.90%,同时具有APSS和GRDS两种类型2例,占比2.90%。PRS组精神病风险症状量表总分及各条目评分均高于非PRS组,差异有统计学意义(P<0.05)。结论大一新生群体中存在一定比例的PRS个体,早期识别尤为重要,需要社会、家庭、学校、医院的重点关注。
Objective To study the early identification and symptom characteristics of psychosis risk syndrome(PRS)in freshmen.Methods A total of 1494 freshmen of Jiujiang University from November 2019 to December 2019 were selected as screening objects.A total of 69 students with 16-item version of the Psychotic Prodromal Questionnaire(PQ-16)≥6 scores and diagnosed as PRS after PRS structured interview(SIPS)were enrolled as the PRS group,and 70 students with PQ-16<6 scores and not diagnosed as PRS by SIPS were included in the non-PRS group.The two groups were compared in terms of early identification,types of PRS,and symptom characteristics of PRS.Results The early detection rate of neonatal psychosis risk syndrome in the PRS group(4.71%)was higher than that in the non-PRS group(0),the difference was statistically significant(P<0.05).In the PRS group,67 cases were Attenuated Positive Symptom Syndrome(APSS)type(97.10%),2 cases were Genetic Risk and Deterioration Syndrome(GRDS)type(2.90%)and 2 cases were APSS and GRDS type(2.90%).The total score and score for each item of psychosis risk symptom scale in the PRS group were higher than those in the non-PRS group,the differences were statistically significant(P<0.05).Conclusion There is a certain proportion of individuals with PRS in the freshman group.And early identification is particularly important,which needs to be paid close attention to by social,home,school and hospital.
作者
张伟娟
吴洪军
刘浔雄
陈海冰
徐丽萍
ZHANG Weijuan;WU Hongjun;LIU Xunxiong;CHEN Haibing;XU Liping(The Fifth People′s Hospital of Jiujiang,Jiujiang,Jiangxi 332000,China)
出处
《现代医药卫生》
2022年第6期935-937,共3页
Journal of Modern Medicine & Health
基金
江西省九江市科技局科技计划项目(201819003)。
关键词
精神病风险综合征
精神病前驱期问卷
精神病类型
大学生
早期识别
症状特征
Psychosis risk syndrome
Psychotic Prodromal Questionnaire
Psychosis type
College student
Early identification
Symptom characteristics
