精算方法在精神科诊断中的应用。
An application of actuarial methods in psychiatric diagnosis.
作者信息
Overall J E, Higgins C W
出版信息
J Clin Psychol. 1977 Oct;33(4):973-80. doi: 10.1002/1097-4679(197710)33:4<973::aid-jclp2270330411>3.0.co;2-z.
An actuarial program for psychiatric diagnosis is evaluated for agreement with final clinical diagnosis in a series of 288 patients. The acturial program provides a probability differential diagnosis based on an analysis of history and background data, symptom rating profiles, and MMPI clinical scale profiles. The observed agreement with final clinical diagnosis is approximately 50% higher than previously reported for psychological testing in this same setting. The results emphasize the importance for psychologists of clinical interview and observation skills.
对一个用于精神科诊断的精算程序进行评估，以确定其与288例患者的最终临床诊断的一致性。该精算程序基于对病史和背景数据、症状评分概况以及明尼苏达多相人格调查表（MMPI）临床量表概况的分析，提供一个概率性鉴别诊断。观察到的与最终临床诊断的一致性比此前在相同环境下进行心理测试所报告的一致性高出约50%。结果强调了临床访谈和观察技能对心理学家的重要性。
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