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[急性抗精神病药物治疗疗效的预测:对243例住院治疗的精神分裂症患者的实证研究结果]

[Prediction of therapeutic success in acute neuroleptic treatment: results of an empirical study of 243 inpatient-treated schizophrenic patients].

作者信息

Möller H J, Scharl W, von Zerssen D

出版信息

Fortschr Neurol Psychiatr. 1985 Oct;53(10):370-83. doi: 10.1055/s-2007-1001982.

Abstract

A study on 243 schizophrenic inpatients treated with neuroleptics was performed. Using standardized rating instruments a large set of potential prediction variables was tested. Several predictors, known from the literature, could be confirmed, also by cross validation according to the split half technique: among others premorbid disturbances of social adjustment, insidious onset of illness, duration of symptoms before admission, intensity of symptoms at admission, duration of previous hospitalisation. The prognostic scale of Strauss and Carpenter, originally developed for long term prognosis, proved as the most relevant predictor. By stepwise multiple regression analyses an optimal combination of five predictors, explaining 30% to 40% outcome variance was found. The latter result is being tested in a prospective study.

摘要

对243例接受抗精神病药物治疗的精神分裂症住院患者进行了一项研究。使用标准化评分工具对大量潜在预测变量进行了测试。文献中已知的几个预测因素也通过根据对半分技术进行的交叉验证得到了证实:其中包括病前社会适应障碍、隐匿性起病、入院前症状持续时间、入院时症状强度、既往住院时间。最初为长期预后而制定的施特劳斯和卡彭特预后量表被证明是最相关的预测因素。通过逐步多元回归分析,发现了五个预测因素的最佳组合,可解释30%至40%的结果方差。后一结果正在一项前瞻性研究中进行检验。

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