Research diagnostic criteria.

Research diagnostic criteria.
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研究诊断标准。

DOI:
10.1001/archpsyc.1979.01780120111013
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发表时间:
1975
影响因子:
--
通讯作者:
Janet B W Williams
Janet B W Williams
中科院分区:
--
文献类型:
--
作者:
R. Spitzer;J. Endicott;Janet B W Williams

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致编者-尽管我们欢迎讨论不同精神分裂症诊断研究标准的相对优劣,但DRS Overall和Hollister在《档案》(36:1198-1205,1979)《精神分裂症研究诊断标准的比较评估》中的文章出于几个原因困扰着我们。首先,作者没有解决不同目的的各种研究诊断标准的问题。虽然DRS Overall和Hollister采用的精算方法的目的是模拟称职或专家的临床实践,但华盛顿大学标准、研究诊断标准(RDC)和DSMIII标准的目的是通过将研究表明在诸如病程、对特定治疗的反应、家庭模式等变量方面的差异纳入标准来改进通常的临床实践。考虑到这种目的的差异,很难接近评估
To the Editor— Although we welcome discussion of the relative merits of different research criteria for Psy chiatric diagnosis, the article by Drs Overall and Hollister in theArchives(36:1198-1205, 1979) "Comparative Evaluation of Research Diagnostic Criteria for Schizophrenia" troubles us for several reasons. First of all, the authors do not address the issue of the different purposes of various sets of research diagnostic criteria. Whereas the purpose of the actuarial approach taken by Drs Overall and Hollister is to simulate competent or expert clinical practice, the purpose of the Washington University criteria, research diagnostic criteria (RDC), and DSMIII criteria is to improve usual clinical practice by incorporating into the criteria distinctions that have been shown by research study to have some validity in terms of such variables as course, response to specific therapy, familial pattern, etc. Given this difference in purpose, it is hardly adequate to approach the evaluation