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[生物精神病学研究中标准化诊断的必要性。尝试将“研究诊断标准”整合到AMDP系统中]

[The necessity for standardized diagnosis in research in biological psychiatry. Attempted integration of "Research Diagnostic Criteria" into the AMDP system].

作者信息

Ansseau M, Doumont A, Cerfontaine J L, Charles G, Mirel J

出版信息

Acta Psychiatr Belg. 1982 Jul-Aug;82(4):422-40.

PMID:7168364
Abstract

Standardization of diagnosis is an essential preliminary in the clinical research in biological psychiatry. Between the different systems of nosographical selection, Research Diagnostic Criteria (RDC) are the most internationally diffused. After having recalled the spirit of RDC, we have looked for seven major illnesses (major and minor depressive disorders, endogenomorphic major depressive disorder, schizophrenia, manic disorder, panic disorder and generalized anxiety disorder) equivalents of RDC criteria in psychopathological and somatical items of AMDP system. With a minimum of modifications (adjonction of some reserve items for each illness), AMDP scales could become compatible. The verification of this theorical equivalence secondly makes it a duty to use jointly RDC and AMDP scales and to analyse both of them separately. After this methodological control, patients who meet RDC criteria could be automatically selected from AMDP scales.

摘要

诊断标准化是生物精神病学临床研究的一项基本前提。在不同的疾病分类选择系统中,研究诊断标准(RDC)在国际上传播最为广泛。在回顾了RDC的精神实质后,我们在AMDP系统的精神病理学和躯体项目中寻找了七种主要疾病(重度和轻度抑郁症、内源性重度抑郁症、精神分裂症、躁狂症、惊恐障碍和广泛性焦虑症)的RDC标准等效项。只需进行最少的修改(为每种疾病添加一些备用项目),AMDP量表就可以变得兼容。对这种理论等效性的验证其次使得有必要联合使用RDC和AMDP量表并分别对它们进行分析。经过这种方法学控制后,可以从AMDP量表中自动选择符合RDC标准的患者。

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