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《精神疾病诊断与统计手册》第二版(DSM-II)与第三版(DSM-III)精神分裂症患者的比较:纵向研究视角

Comparison of DSM-II and DSM-III schizophrenics: a longitudinal perspective.

作者信息

Roff J D, Knight R A, Crandell L

机构信息

Department of Psychology, Eastern Michigan University, Ypsilanti 48197.

出版信息

J Clin Psychol. 1993 Jul;49(4):485-91. doi: 10.1002/1097-4679(199307)49:4<485::aid-jclp2270490405>3.0.co;2-p.

DOI:10.1002/1097-4679(199307)49:4<485::aid-jclp2270490405>3.0.co;2-p
PMID:8408675
Abstract

Patients who meet DSM-III criteria for schizophrenia were compared with those who meet DSM-II, but not DSM-III, criteria. Comparisons included measures of positive symptoms, negative symptoms, and social competence both before extended hospitalization and during a 7-year follow-up. The measure of positive symptoms was the only variable that differed significantly between groups at initial assessment. Positive symptoms were more stable and predictive for DSM-III schizophrenics than for DSM-II schizophrenics. The measure of negative symptoms was the most stable and predictive variable for the DSM-II schizophrenics. Increased homogeneity for the DSM-III schizophrenics was not found for most measures.

摘要

将符合精神分裂症DSM-III标准的患者与符合DSM-II但不符合DSM-III标准的患者进行了比较。比较内容包括在长期住院前以及7年随访期间的阳性症状、阴性症状和社交能力指标。阳性症状指标是初始评估时两组之间唯一有显著差异的变量。与DSM-II精神分裂症患者相比,阳性症状在DSM-III精神分裂症患者中更稳定且更具预测性。阴性症状指标对DSM-II精神分裂症患者来说是最稳定且最具预测性的变量。对于大多数指标而言,未发现DSM-III精神分裂症患者的同质性增加。

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