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软体征体格检查和神经学检查(PANESS)的可靠性及诊断效度

The reliability and diagnostic validity of the physical and neurological examination for soft signs (PANESS).

作者信息

Werry J S, Aman M G

出版信息

J Autism Child Schizophr. 1976 Sep;6(3):253-62. doi: 10.1007/BF01543465.

DOI:10.1007/BF01543465
PMID:1036492
Abstract

Twenty-one children, mean age of 8 years, were each examined on separate occasions by two pediatric residents, blind to diagnosis, using the neurological examination (PANESS) included in the group of instruments recommended by the National Institute of Mental Health for psychotropic drug studies in children. Half the children were hyperactive/aggressive, one quarter were normal, and one quarter had histories or signs strongly presumptive of brain damage. Many of the signs, though reliable, did not occur in the majority of children. Examiners did achieve a high level of agreement about global neurological status. It was concluded that the neurological examination probably contains a substantial number of non-contributory items and should be regarded as experimental rather than definitive.

摘要

21名平均年龄为8岁的儿童,由两名对诊断不知情的儿科住院医师分别进行检查,他们使用了美国国立精神卫生研究所推荐的用于儿童精神药物研究的仪器组中的神经学检查(PANESS)。一半儿童多动/有攻击性,四分之一正常,四分之一有脑损伤的病史或迹象。许多体征虽然可靠,但并非大多数儿童都有。检查者在总体神经学状况上达成了高度一致。结论是,该神经学检查可能包含大量无贡献的项目,应被视为实验性而非确定性的。

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本文引用的文献

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What's missing in autism spectrum disorder motor assessments?自闭症谱系障碍运动评估中缺失了什么?
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Neuropsychiatr Dis Treat. 2015 Oct 29;11:2825-31. doi: 10.2147/NDT.S91170. eCollection 2015.
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The physical and neurological examination for soft signs (PANESS): pediatric norms and comparisons between normal and deviant boys [proceedings].
Psychopharmacol Bull. 1977 Apr;13(2):39-41.