Case Report: Paranoid Schizophrenia With Stressing Point Screening For Paranoid Schizophrenia Prognosis

Andik Ferdiantoro, N. As, Hafid Algristian
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Abstract

Background: Schizophrenia is a psychiatric disorder characterized by decrease or inability to communicate, reality disorders, namely hallucinations and delusions, cognitive impairment and difficulty to carry out daily activities. Paranoid schizophrenia is one of the most common types of schizophrenia and its has good prognosis among other types of schizophrenia. But the prognosis decision making for paranoid schizophrenia is influenced by the following factors: prepsychotic personality, acute or chronic, type of schizophrenia, age, administration of medication, presence or absence of precipitating factors, and heredity. Objective: This study aims to determine the prognosis of paranoid schizophrenia in case is using the factors above. The case study is based on the examination of patients in the outpatient psychiatric clinic of the Islamic Hospital of Jemursari Surabaya who have received the patient's consent. Methods: The method of diagnosis uses a pocket book for the diagnosis of mental disorders PPDGJ-III and DSM-V. Result: The results are showed that is paranoid schizophrenic patients with a poor prognosis (dubia ad malam). Conclusion: All of paranoid schizophrenia have not being a good prognosis (dubia ad bonam) because it is influeced by several factors, namely prepsychotic personality, acute or chronic, type of schizophrenia, age, administration of medication, presence or absence of trigger factors, and heredity. Keywords: Paranoid Schizophrenia, Prognosis of Paranoid Schizophrenia
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病例报告:偏执型精神分裂症与应激点筛查偏执型精神分裂症的预后
背景:精神分裂症是一种以沟通能力下降或丧失能力、现实障碍即幻觉和妄想、认知障碍和难以进行日常活动为特征的精神障碍。偏执型精神分裂症是最常见的精神分裂症类型之一,在其他类型的精神分裂症中预后较好。但偏执型精神分裂症的预后决策受以下因素的影响:精神病前人格、急性或慢性、精神分裂症类型、年龄、给药、是否存在诱发因素和遗传。目的:探讨偏执型精神分裂症患者的预后。案例研究是基于在泗水Jemursari伊斯兰医院门诊精神病诊所对患者进行的检查,这些检查已得到患者的同意。方法:诊断方法采用袖珍手册PPDGJ-III和DSM-V进行精神障碍诊断。结果:结果表明:偏执型精神分裂症患者预后较差(dubia和malam)。结论:偏执型精神分裂症的预后均不佳,其预后受精神病前人格、急性或慢性、精神分裂症类型、年龄、用药、诱发因素是否存在、遗传等因素的影响。关键词:偏执型精神分裂症;偏执型精神分裂症预后
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