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简明精神病评定量表与曼彻斯特量表在评定精神分裂症症状方面的比较。

Comparison between the Brief Psychiatric Rating Scale and the Manchester Scale for the rating of schizophrenic symptoms.

作者信息

Manchanda R, Saupe R, Hirsch S R

出版信息

Acta Psychiatr Scand. 1986 Dec;74(6):563-8. doi: 10.1111/j.1600-0447.1986.tb06285.x.

DOI:10.1111/j.1600-0447.1986.tb06285.x
PMID:3825580
Abstract

A reliability study was carried out to compare the short Manchester Scale (MS) to the longer Brief Psychiatric Rating Scale (BPRS), to see if similar items scored the same aspect of pathology and to find the sources of error. The raters were a psychiatrist and a psychologist cum medical student; they had recently arrived in Britain, came from different cultures and had not used the scale previously. Comparisons between the scales were made by interviewing the patients separately and together using either one or both scales. The items on the MS showed a higher interrater reliability as compared to the BPRS, both with independent and simultaneous ratings. Items based on observation only correlated poorly as compared to items based on verbal report. Lower between-scale correlations for delusions and affect were observed even where the same rater used the two scales, suggesting that the scales have different meanings for these items. The MS is a suitable alternative to the BPRS for quantifying schizophrenic symptoms.

摘要

开展了一项信度研究,以比较简短的曼彻斯特量表(MS)和较长的简明精神病评定量表(BPRS),观察相似条目在病理学的同一方面得分是否相同,并找出误差来源。评分者为一名精神科医生和一名兼修医学的心理学学生;他们最近刚到英国,来自不同文化背景,之前未使用过该量表。通过分别或同时使用一种或两种量表对患者进行访谈来比较这两种量表。与BPRS相比,MS的条目在独立评分和同时评分时均显示出更高的评分者间信度。与基于言语报告的条目相比,仅基于观察的条目相关性较差。即使同一名评分者使用这两种量表,妄想和情感方面的量表间相关性也较低,这表明这些条目在两种量表中有不同含义。MS是用于量化精神分裂症症状的BPRS的合适替代量表。

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