Munetz M R, Benjamin S
Department of Psychiatry, University of Massachusetts Medical Center, Worcester 01655.
Hosp Community Psychiatry. 1988 Nov;39(11):1172-7. doi: 10.1176/ps.39.11.1172.
The Abnormal Involuntary Movement Scale (AIMS) examination has been widely recommended for periodic screening for tardive dyskinesia and follow-up of patients diagnosed with the disorder. However, few guidelines exist about how to use the examination in clinical practice. The authors discuss for whom, when, and how the AIMS examination can be used in a multidisciplinary setting; amplify the original instructions for the examination; and propose conventions to clarify scoring. Noting that the AIMS examination is not specific for tardive dyskinesia, they discuss a clinical approach to the patient who is found to have abnormal movements. The AIMS examination is best conducted within the context of an ongoing treatment program, the authors say, and should be part of the informed consent process necessary with patients treated with neuroleptic drugs.
异常不自主运动量表（AIMS）检查已被广泛推荐用于迟发性运动障碍的定期筛查以及对被诊断患有该疾病患者的随访。然而，关于如何在临床实践中使用该检查的指南却很少。作者们讨论了在多学科环境中AIMS检查适用于哪些人、何时使用以及如何使用；扩充了该检查的原始说明；并提出了明确评分的惯例。他们指出AIMS检查并非迟发性运动障碍所特有，还讨论了针对被发现有异常运动患者的临床处理方法。作者们表示，AIMS检查最好在正在进行的治疗方案背景下进行，并且应该是使用抗精神病药物治疗患者所需的知情同意过程的一部分。
