SCHIZOPHRENIA - THE CHARACTERISTIC SYMPTOMS
SCHIZOPHRENIA - THE CHARACTERISTIC SYMPTOMS
复制标题
DOI：
10.1093/schbul/17.1.27
复制
发表时间：
1991-01-01
影响因子：
6.6
通讯作者：
FLAUM, M
中科院分区：
文献类型：
--
作者：
ANDREASEN, NC;FLAUM, M
随着时间的推移和文化的不同，被认为是精神分裂症特征的具体症状也有很大的不同，这些症状的诊断和预后重要性也有很大的不同。在这份报告中，什么构成了精神分裂症的“特征性症状”的历史概念进行审查的背景下，DSM-IV的发展。通过现有的文献，以及通过以前未发表的数据集，维度的可靠性，特异性，有效性和描述性价值的各种体征和症状用于分类精神分裂症进行了探索。此外，DSM-III-R的精神分裂症的定义与国际疾病分类（ICD-10）的拟议修订的结构进行了对比，展示了几个潜在的有意义的差异。它的结论是，精神分裂症的体征和症状的全面描述应该放在一个强烈的重视积极和消极的症状。最后提出了指导DSM-IV发展的原则和方法。
The specific symptoms that have been felt to characterize schizophrenia have varied widely over time and across cultures, as has the diagnostic and prognostic importance placed on these symptoms. In this report, the historical concepts of what constitutes the "characteristic symptoms" of schizophrenia are reviewed in the context of the development of DSM-IV. Through the existing literatures as well as through previously unpublished data sets, the dimensions of reliability, specificity, validity, and descriptive value of the various signs and symptoms used to classify schizophrenia are explored. In addition, the structure of the DSM-III-R definition of schizophrenia with that of the proposed revisions of the International Classification of Diseases (ICD-10) are contrasted, demonstrating several potentially meaningful differences. It is concluded that a comprehensive description of the signs and symptoms of schizophrenia should place a strong emphasis on both positive and negative symptoms. Principles and approaches to guide the development of DSM-IV are suggested.