Affective flattening and the criteria for schizophrenia.

Affective flattening and the criteria for schizophrenia.
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情感扁平化和精神分裂症的标准。

DOI:
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发表时间:
1979
影响因子:
17.7
通讯作者:
N. Andreasen
N. Andreasen
中科院分区:
医学1区
文献类型:
--
作者:
N. Andreasen

文献摘要

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作者使用了一种强调客观行为迹象的量表来评估情感扁平化,并对69名患有精神分裂症(N = 30)、躁狂(N = 19)和抑郁症(N = 20)的患者进行了评估。评分者对病人的诊断一无所知。对评价者的信度进行了评估,发现对量表上的大多数项目和全球评级来说是足够好的。发现情感扁平化在精神分裂症中很常见,但并非无所不在;这在抑郁症患者中也很常见。作者建议将情感扁平化视为精神分裂症的重要标准,并建议未来的研究探索其频率和预后意义。
The author used a scale that emphasizes objective behavioral signs to evaluate affective flattening and to rate affect in 69 patients suffering from schizophrenia (N = 30), mania (N = 19), and depression (N = 20). Raters were blind to the patient's diagnosis. Interrater reliability was assessed and found to be adequate to good for most items on the scale and for a global rating. The affective flattening was found to be common, but not omnipresent, in schizophrenia; it was also common among the depressed patients. The author recommends that affective flattening be considered as an important criterion for schizophrenia and that future research explore its frequency and prognostic significance.