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简明精神病评定量表(BPRS)作为一种跨诊断量表的实用性和有效性。

Utility and validity of the Brief Psychiatric Rating Scale (BPRS) as a transdiagnostic scale.

机构信息

University of Zurich, Faculty of Medicine, Psychiatric University Hospital of Zurich, Department of Psychiatry, Psychotherapy and Psychosomatics, Zurich, Switzerland.

University of Zurich, Faculty of Medicine, Psychiatric University Hospital of Zurich, Department of Forensic Psychiatry, Zurich, Switzerland.

出版信息

Psychiatry Res. 2022 Aug;314:114659. doi: 10.1016/j.psychres.2022.114659. Epub 2022 May 31.

DOI:10.1016/j.psychres.2022.114659
PMID:35709637
Abstract

The Brief Psychiatric Rating Scale (BPRS) was originally conceived to assess psychopathology in several psychiatric disorders, making it an appropriate candidate to be used as a transdiagnostic instrument. We analyzed the utility and validity of the BPRS in a diagnostically heterogeneous sample of 600 psychiatric inpatients. As a comparator, we chose the mini-ICF-APP, a scale used to measure functioning and impairment across the diagnostic spectrum. Both scales had good internal consistency. The BPRS and the mini-ICF-APP showed a moderate correlation, with good levels of agreement. We were able to identify general symptoms present across the diagnostic spectrum, influencing severity and a cluster of symptoms specific for each diagnosis. Our results show the utility and validity of the BPRS as a transdiagnostic assessment tool that could easily be introduced in routine clinical work.

摘要

简明精神病评定量表(BPRS)最初是为了评估几种精神障碍中的精神病理学而设计的,因此它是一种合适的跨诊断工具候选者。我们分析了 BPRS 在 600 名精神科住院患者的诊断异质样本中的实用性和有效性。作为比较,我们选择了 mini-ICF-APP,这是一种用于测量整个诊断范围内功能和障碍的量表。这两个量表都具有良好的内部一致性。BPRS 和 mini-ICF-APP 显示出中等相关性,具有良好的一致性水平。我们能够识别出跨诊断谱存在的一般症状,这些症状影响严重程度和每个诊断的一组特定症状。我们的结果表明 BPRS 作为一种跨诊断评估工具具有实用性和有效性,它可以很容易地引入常规临床工作中。

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