精神医学50巻9号

2008年09月発行

展望

Schneiderの1級症状の診断的意義

著者： 針間博彦¹ 岡田直大¹ 白井有美¹

所属機関： ¹東京都立松沢病院精神科

ページ範囲：P.838 - P.855

はじめに

　Kurt Schneider(1887-1967)の精神医学的業績は多岐にわたるが，なかでも彼が提唱した統合失調症の1級症状は，ICD-10，DSM-IVなど現在の診断基準にも広く影響を与えている。一方，他の疾病でも出現することから，統合失調症に対する1級症状の疾患特異性に関する反論も少なくない。本稿では，Schneiderによる統合失調症の概念および診断，1級症状の定義を再検討したうえで，1級症状の出現頻度，疾患特異性，予後や気分障害との関連などについて概説する。

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