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精神科住院患者精神病理学的自我报告评分与观察者报告评分之间的关系。

Relationship between self-reported and observer-reported ratings for psychopathology in psychiatric inpatients.

作者信息

Biancosino Bruno, Barbui Corrado, Marmai Luciana, Fagioli Federico, Sabatelli Riccardo, Grassi Luigi

机构信息

Section of Psychiatry, Department of Medical Sciences of Communication and Behaviour, University of Ferrara, Ferrara, Italy.

出版信息

Psychopathology. 2007;40(6):418-23. doi: 10.1159/000106472. Epub 2007 Jul 25.

Abstract

OBJECTIVE

Psychopathology can be measured adopting the perspective of clinicians or the perspective of patients themselves. In the present study, we investigated the degree of coherence between these two viewpoints.

METHODS

During an 8-month recruitment period, all consecutive patients admitted to two Italian residential facilities were screened for inclusion. The 24-item version of the Brief Psychiatric Rating Scale-Expanded Version (BPRS-E) and the Brief Symptom Inventory (BSI) were administered within the first 3 days since admission and immediately before discharge.

RESULTS

During the study period, 71 patients with psychosis (code F20-F29) and 80 patients without psychosis (code F30-F39 and code F60-F69) were included. In patients with psychosis, no correlation was observed between the BPRS-E total score and the General Severity Index (GSI) score at admission and before discharge. However, statistically significant correlations were found between the BPRS depression and anxiety subscale and the BSI subscales investigating affective and neurotic dimensions. In patients without psychosis, no correlation was observed between the BPRS-E total score and the GSI score at admission; conversely, at discharge, a statistically significant correlation was found between the BPRS-E total score and the GSI score, and between the BPRS-E depression and anxiety subscale and the BSI subscales investigating affective and neurotic dimensions.

CONCLUSIONS

Self-reported and observer-reported ratings hold different meanings and cannot be considered equivalent. In terms of symptom dimensions, data showed that individuals tend to preserve the ability of measuring/assessing their own affective disturbances, even in the presence of psychotic symptoms, but not the ability of measuring/assessing loss of contact with reality.

摘要

目的

精神病理学可以从临床医生的视角或患者自身的视角来衡量。在本研究中,我们调查了这两种观点之间的一致程度。

方法

在为期8个月的招募期内,对入住两家意大利住院机构的所有连续入院患者进行纳入筛查。在入院后的前3天内以及即将出院前,使用简明精神病评定量表扩展版(BPRS-E)的24项版本和简明症状量表(BSI)进行评估。

结果

在研究期间,纳入了71例精神病患者(编码F20 - F29)和80例非精神病患者(编码F30 - F39和编码F60 - F69)。在精神病患者中,入院时和出院前BPRS-E总分与总体严重程度指数(GSI)得分之间未观察到相关性。然而,在BPRS抑郁和焦虑子量表与调查情感和神经症维度的BSI子量表之间发现了具有统计学意义的相关性。在非精神病患者中,入院时BPRS-E总分与GSI得分之间未观察到相关性;相反,在出院时,BPRS-E总分与GSI得分之间以及BPRS-E抑郁和焦虑子量表与调查情感和神经症维度的BSI子量表之间发现了具有统计学意义的相关性。

结论

自我报告和观察者报告的评分具有不同的含义,不能被视为等同。在症状维度方面,数据表明,即使存在精神病症状,个体仍倾向于保留测量/评估自身情感障碍的能力,但无法测量/评估与现实失去联系的能力。

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