前駆期の治療不応性強迫症状が発症後に反応性となり改善した思春期統合失調症の1例

Abstract

Several psychiatric disorders have obsessive-compulsive symptoms. These symptoms have been noticed in schizophrenia since old times. Early-onset schizophrenia had obsessive-compulsive symptoms as premonitory symptoms only rarely. Arienti S. suggested that obsessive-compulsive symptoms prevented the onset of schizophrenia in patients with these symptoms. Matsumoto suggested that the patients had not good clinical courses because of these symptoms. In addition, it is said that the earlier onset age is, the slower progress is. Here we describe the case of an adolescent schizophrenia patient with long-tetm (about 5 years) refractory obsessive-compulsive symptoms, which improved after the onset of schizophrenia. The case might indicate the possibility that the onset of schizophrenia might be made to intprove these symptoms.