Norman R M, Malla A K, Cortese L, Diaz F
Department of Psychiatry, University of Western Ontario, and Victoria Hospital, London, Ont., Canada.
Schizophr Res. 1996 Mar;19(1):73-85. doi: 10.1016/0920-9964(95)00055-0.
We assessed the comparative interrater reliability of the SANS/SAPS and PANSS as measures of symptomatology in schizophrenia and also examined the interrelationship between scores on these instruments. Two experienced raters used these Scales to assess positive and negative symptoms in a group of 85 patients with a DSM III-R diagnosis of schizophrenia. Ratings were based on structured clinical interviews, review of case notes and consultation with staff familiar with the patients. Comparable levels of interrater reliability were found for each system of measuring symptomatology, but levels of interrater reliability were on the whole lower than have been reported in the past. There were high correlations between overall indices of positive and negative symptomatology derived from the two measurement systems.
我们评估了简明精神病评定量表(SANS)/精神病理评定量表(SAPS)与阳性和阴性症状评定量表(PANSS)作为精神分裂症症状学测量方法的比较者间信度,还研究了这些量表得分之间的相互关系。两名经验丰富的评定者使用这些量表评估了一组85例符合DSM III-R精神分裂症诊断标准患者的阳性和阴性症状。评定基于结构化临床访谈、病例记录回顾以及与熟悉患者情况的工作人员的咨询。每种症状测量系统的比较者间信度水平相当,但总体而言,比较者间信度水平低于过去所报告的水平。两种测量系统得出的阳性和阴性症状总体指标之间存在高度相关性。