Moss S, Prosser H, Ibbotson B, Goldberg D
Hester Adrian Research Centre, University of Manchester, England.
J Intellect Disabil Res. 1996 Oct;40 ( Pt 5):457-65.
This paper investigates differences in the nature and frequency of psychiatric symptoms reported by patients with learning disability and key informants. The study involved psychiatric assessment of 100 patients with learning disabilities and key informants using the Psychiatric Assessment Schedule for Adults with a Developmental Disability (PAS-ADD), a semi-structured psychiatric interview developed specifically for people who have a learning disability. There was considerable disagreement between respondent and informant interviews: only 40.7% of cases were detected by both interviews. Respondents were more likely to report on autonomic symptoms and certain psychotic phenomena. Other anxiety and depression symptoms were more frequently reported by informants. The results indicate that it is crucial for sensitive case detection to complete both interviews where possible. If the respondent cannot be interviewed, panic disorder or phobias may be particularly difficult to detect.
本文调查了学习障碍患者及其主要信息提供者所报告的精神症状在性质和频率上的差异。该研究使用《发育障碍成人精神病学评估量表》（PAS - ADD）对100名学习障碍患者及其主要信息提供者进行了精神病学评估，PAS - ADD是专门为有学习障碍的人开发的半结构化精神病学访谈工具。受访者和信息提供者的访谈结果存在相当大的差异：只有40.7%的病例在两次访谈中都被检测到。受访者更有可能报告自主神经症状和某些精神病性现象。信息提供者更频繁地报告其他焦虑和抑郁症状。结果表明，尽可能完成两次访谈对于敏感的病例检测至关重要。如果无法对受访者进行访谈，恐慌症或恐惧症可能特别难以检测到。
