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KMID : 0367320000110020262
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Journal of the Korean Academy of Child and Adolescent Psychiatry
2000 Volume.11 No. 2 p.262 ~ p.281
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Review of the Peer Relationship of Child and Adolescent Schizophrenic Patients -Focusing Case Studies-
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Shin Sung-Woong
Cho Soo-Churl
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Abstract
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We focused on the peer relationship of adolescent patients with schizophrenia, which usually occurs around puberty. Reviewing cases with schizophrenia and the literature extensively, we had come to the conclusion as follows；1) the most robust predictors among factors influencing the prognosis of schizophrenia are premorbid interpersonal relationship and adaptive functions. 2) Especially teachers’ reports about school life and peer relationship during school life are useful for predicting the occurrence of schizophrenia in adolescents. We described characteristic and behavioral childhood features which are important in pathogenesis of schizophrenia, based on high-risk studies and long term follow-up studies. Also, pathological profiles of the interpersonal relationship and pathology in adulthood were presented. We tried to integrate various aspects of interpersonal and social weaknesses of schizophrenics applying ’primary and secondary socialization’ concept. Finally, five cases of adolescent schizophrenics were described briefly and proposal for the early detection and intervention for risk factors was introduced.
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KEYWORD
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Schizophrenia, Risk factor, Interpersonal relationship, Socialization
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