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功能性精神病的诊断。临床分类与计算机化分类的比较。

Diagnosis of functional psychoses. Comparison of clinical and computerized classifications.

作者信息

Scharfetter C, Moerbt H, Wing J K

出版信息

Arch Psychiatr Nervenkr (1970). 1976 Sep 17;222(1):61-7. doi: 10.1007/BF00369795.

Abstract

The results of a comparison between the clinical diagnoses of 115 probands with functional psychoses, made on the basis of careful clinical history-taking, interviewing and examinations, and those made by computerized evaluation (CATEGO) on the basis of the present state examination (PSE) were presented. The clinical diagnoses of the project psychiatrist and the provisional classification resulting from the application of the CATEGO program to the PSE symptom profiles were in an overall concordance of 82%. In a second step the 20 cases with differences in diagnoses were reevaluated on the basis of the full history and psychopathology and a syndrome checklist was completed. This reevaluation led to a practically full diagnostic agreement.

摘要

呈现了115例功能性精神病先证者的临床诊断结果比较。临床诊断基于仔细的病史采集、面谈和检查,而计算机化评估(CATEGO)诊断则基于现状检查(PSE)。项目精神科医生的临床诊断与将CATEGO程序应用于PSE症状概况得出的临时分类总体一致性为82%。第二步,根据完整病史和精神病理学对20例诊断存在差异的病例进行重新评估,并完成一份综合征清单。此次重新评估导致了几乎完全的诊断一致性。

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