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不同住院期间精神疾病模式的变化。

Changes in patterns of mental illness over different hospital admissions.

作者信息

Cairns V, von Zerssen D, Moeller H J

出版信息

Psychopathology. 1984;17(2):98-104. doi: 10.1159/000284009.

DOI:10.1159/000284009
PMID:6729005
Abstract

Different diagnostic groups were compared in order to find out how constant individual patterns of illness remained over different hospital admissions. First, each of the syndrome scales in the Inpatient Multidimensional Psychiatric Scale and the Clinical Self-Rating Scales was examined to see how stable the patients' scores remained over two different admissions. Low correlations between scores on the two admissions were seen in the scales for mania and depression, reflecting changes in the clinical symptom patterns of patients with affective disorders. Many other scales, however, were fairly stable and were more closely connected with the given diagnosis. Secondly, each patient's pattern of illness on the first admission was compared with his or her pattern on the second admission. It was observed that patients with diagnoses of schizophrenia or schizo-affective psychosis tended to have less stable patterns of illness.

摘要

对不同诊断组进行比较,以了解个体疾病模式在不同住院期间的稳定性。首先,对住院多维精神病量表和临床自评量表中的每个综合征量表进行检查,以观察患者在两次不同住院期间的得分稳定性。在躁狂和抑郁量表中,两次住院得分之间的相关性较低,这反映了情感障碍患者临床症状模式的变化。然而,许多其他量表相当稳定,并且与给定诊断的联系更为紧密。其次,将每位患者首次住院时的疾病模式与其第二次住院时的模式进行比较。观察到,被诊断为精神分裂症或分裂情感性精神病的患者往往具有不太稳定的疾病模式。

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