精神科住院医师在精神状态检查中对情绪和情感的概念化理解。
Psychiatric resident conceptualizations of mood and affect within the mental status examination.
作者信息
Serby Michael
机构信息
Department of Psychiatry, Beth Israel Medical Center, New York, NY 10003, USA.
出版信息
Am J Psychiatry. 2003 Aug;160(8):1527-9. doi: 10.1176/appi.ajp.160.8.1527.
OBJECTIVE
To explore the ways in which psychiatry residents conceptualize the terms "mood" and "affect," a 14-item questionnaire was sent to residency programs in New York.
METHOD
The questions consisted of possible definitions of mood and affect; all questions required a "true" or "false" response. Residents (N=99) were asked how they viewed mood and affect from a temporal perspective (i.e., sustained versus momentary) and in terms of an objective-subjective (or external-internal) dichotomy.
RESULTS
There were inconsistencies in the temporal view of mood (said to be sustained by 60.6% and momentary by 50.5%) and affect ("pervasive" by 26.3% and "momentary" by 66.3%). Residents overwhelmingly defined mood as being subjective and internal and affect as being objective and external.
CONCLUSIONS
If mood and affect are to be viewed from both perspectives, psychiatrists must infer the enduring internal emotional tone (mood) of a patient over an entire interview.
目的
为探究精神科住院医师对“情绪”和“情感”这两个术语的概念理解方式，向纽约的住院医师培训项目发放了一份包含14个条目的问卷。
方法
问题包括情绪和情感的可能定义；所有问题都要求回答“是”或“否”。99名住院医师被问及他们如何从时间角度（即持续与瞬间）以及客观-主观（或外部-内部）二分法来看待情绪和情感。
结果
在对情绪的时间看法上存在不一致（60.6%的人认为是持续的，50.5%的人认为是瞬间的），对情感的看法也不一致（26.3%的人认为是“普遍存在的”，66.3%的人认为是“瞬间的”）。住院医师压倒性地将情绪定义为主观和内在的，将情感定义为客观和外在的。
结论
如果要从两个角度看待情绪和情感，精神科医生必须在整个访谈过程中推断患者持久的内在情绪基调（情绪）。
Zotero 插件