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精神分裂症:诊断标准与预后

Schizophrenia: diagnostic criteria and outcome.

作者信息

Bland R C, Orn H

出版信息

Br J Psychiatry. 1979 Jan;134:34-8. doi: 10.1192/bjp.134.1.34.

DOI:10.1192/bjp.134.1.34
PMID:760921
Abstract

The files of a cohort of schizophrenic patients who were admitted to hospital for the first time in their lives in 1963, and who were representative of cases in a large unselected population, were examined , first by exclusion criteria, and then by the diagnostic criteria of Schneider's first-rank symptoms, Feighner et al's criteria, and the New Haven Schizophrenia Index (NHSI). Forty-three such cases were found who were schizophrenic on at least two sets of criteria, and who were followed up in 1977. Examination of the outcome showed no relationship with FRS presence or absence or number of first-rank symptoms, nor with the NHSI score, but did show a relationship to the Feighner et al criteria and an even stronger relationship to a simple score derived from these criteria.

摘要

对一组1963年首次入院的精神分裂症患者的病历进行了检查,这些患者代表了大量未经筛选人群中的病例。首先根据排除标准进行检查,然后根据施奈德一级症状诊断标准、费格纳等人的标准以及纽黑文精神分裂症指数(NHSI)进行检查。发现有43例患者至少符合两套标准被诊断为精神分裂症,并在1977年对其进行了随访。结果检查表明,这与是否存在一级症状或一级症状的数量无关,也与NHSI评分无关,但确实显示出与费格纳等人的标准有关,并且与从这些标准得出的简单评分有更强的相关性。

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引用本文的文献

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First rank symptoms for schizophrenia.精神分裂症的一级症状。
Cochrane Database Syst Rev. 2015 Jan 25;1(1):CD010653. doi: 10.1002/14651858.CD010653.pub2.
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The diagnostic status of first-rank symptoms.一级症状的诊断状况。
Schizophr Bull. 2008 Jan;34(1):137-54. doi: 10.1093/schbul/sbm044. Epub 2007 Jun 11.
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Competing definitions of schizophrenia: what can be learned from polydiagnostic studies?精神分裂症的相互竞争的定义:从多诊断研究中可以学到什么?
Schizophr Bull. 2007 Sep;33(5):1178-200. doi: 10.1093/schbul/sbl065. Epub 2006 Dec 8.