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精神分裂症的诊断标准:不同系统之间的可靠性及一致性

Diagnostic criteria for schizophrenia: reliabilities and agreement between systems.

作者信息

Endicott J, Nee J, Fleiss J, Cohen J, Williams J B, Simon R

出版信息

Arch Gen Psychiatry. 1982 Aug;39(8):884-9. doi: 10.1001/archpsyc.1982.04290080006002.

DOI:10.1001/archpsyc.1982.04290080006002
PMID:7103677
Abstract

We compared the joint frequencies and reliabilities of the following sets of criteria for the diagnosis of schizophrenia: the New Haven Schizophrenia Index: the Carpenter, Strauss, Bartko (4-, 5-, 6-, and 7-item) system; DSM-III; Research Diagnostic Criteria (RDC; full and chronic); the Feighner system; and the 1975 criteria of Taylor and Abrams. The systems, of essentially equal reliability, varied sevenfold in their rates of diagnosing schizophrenia. Patients in whom schizophrenia was diagnosed by the lower-rate systems were likely to receive the same diagnosis by the higher-rate systems. This tends not to be the cases when an affective syndrome is present.

摘要

我们比较了用于精神分裂症诊断的以下几组标准的联合频率和可靠性

纽黑文精神分裂症指数、卡彭特-施特劳斯-巴特科(4项、5项、6项和7项)系统、《精神疾病诊断与统计手册》第三版(DSM-III)、研究诊断标准(RDC;完整型和慢性型)、费格纳系统以及1975年泰勒和艾布拉姆斯的标准。这些系统的可靠性基本相同,但在精神分裂症诊断率方面相差七倍。低诊断率系统诊断为精神分裂症的患者很可能也会被高诊断率系统诊断为同一疾病。当存在情感综合征时,情况往往并非如此。

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