The SHP test--an aid in the detection and measurement of depression.

The SHP test--an aid in the detection and measurement of depression.
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SHP 测试——有助于检测和测量抑郁症。

DOI:
10.1001/archpsyc.1959.03590010051006
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发表时间:
1959
期刊:
A.M.A. archives of general psychiatry
影响因子:
--
通讯作者:
R. Peck
R. Peck
中科院分区:
--
文献类型:
--
作者:
R. Peck

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从准确诊断的角度来看,或许没有哪种精神疾病像抑郁症那样令人不满意。它可以是一种症状,也可以是一种诊断。它被视为一种正常的情绪。甚至这个术语在诊断上的使用也存在相当大的差异。躁狂抑郁症、更年期抑郁症、反应性抑郁症、神经症性抑郁症等诊断仍然被广泛使用,尽管它们已不再具有官方地位。更增加语义混乱的是,必须承认,精神病学中抑郁症的诊断在很大程度上仍然是凭印象的,缺乏精确性。精神科医生根据对病史、患者的主诉、患者的外貌、观察或治疗过程、心理测试以及直觉的仔细评估来形成他的临床意见。尽管这种情况很糟糕,但自杀风险的诊断甚至更糟。在这里,即使是有根据的猜测也是出了名的不可靠。
From the point of view of exact diagnosis perhaps no psychiatric condition is as unsatisfactory as depression. It can be a symptom or a diagnosis. It is recognized as a normal mood. There is even considerable variation in the diagnostic use of the term. The diagnoses manic-depressive psychosis, involutional depression, reactive depression, neurotic depression, etc., are still widely used, even though they no longer have official standing. To add to the semantic confusion, it must be admitted that the diagnosis of depression in psychiatry is still largely impressionistic and lacks precision. The psychiatrist bases his clinical opinion on a careful evaluation of the history, the complaints, the appearance of the patient, the course under observation or treatment, psychological tests, and intuition. As bad as this state of affairs is, the diagnosis of suicide risk is even worse. Here even educated guessing it notoriously fallible,