Falloon I R
Schizophr Bull. 1984;10(2):293-9. doi: 10.1093/schbul/10.2.293.
Although measurement of the course of schizophrenic disorder has relied heavily on the concept of relapse, a review of the literature reveals a paucity of clear definitions of relapse. In most research studies, the assessment of relapse has been made on the basis of clinical judgment, with little attempt to apply more rigorous psychometric standards. The limitations of this approach are discussed and several possible improvements are suggested. These include: operational definitions that specify the qualitative, quantitative, and temporal characteristics of symptomatic exacerbation; avoidance of potentially confounding social variables; and the use of standardized rating scales and target symptoms.
尽管精神分裂症病程的测量在很大程度上依赖于复发的概念，但对文献的回顾发现对复发的明确定义很少。在大多数研究中，复发的评估是基于临床判断进行的，几乎没有尝试应用更严格的心理测量标准。本文讨论了这种方法的局限性，并提出了一些可能的改进措施。这些措施包括：明确症状加重的定性、定量和时间特征的操作性定义；避免潜在的混淆社会变量；以及使用标准化的评定量表和目标症状。
