The Classification of Anxiety and Hysterical States. Part I. Historical Review and Empirical Delineation
The Classification of Anxiety and Hysterical States. Part I. Historical Review and Empirical Delineation
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焦虑和歇斯底里状态的分类。
DOI：
10.1097/00004714-198208000-00002
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发表时间：
1982
影响因子：
2.9
通讯作者：
K. Sheehan
中科院分区：
文献类型：
--
作者：
D. Sheehan;K. Sheehan
本文回顾了焦虑、歇斯底里和疑病症分类的历史。本文概述了当前分类方案在预测、控制和描述症状与其他现象之间的关系方面存在的问题。现有的分类方案未能通过良好分类模型的第一个测试，即提供互斥的类别。这些诊断类别彼此之间的独立性似乎在实证检验中站不住脚。在缺乏内在相互排斥的类别的情况下，对这些类别的进一步实证调查受到阻碍，因为名义数据的统计有效分析和任何有用的多变量分析将是困难的，如果不是不可能的话。结论是，现有的分类是不令人满意的，需要一些基本的重新概念化。
The history of the classification of anxiety, hysterical, and hypochondriacal disorders is reviewed. Problems in the ability of current classification schemes to predict, control, and describe the relationship between the symptoms and other phenomena are outlined. Existing classification schemes failed the first test of a good classification model—that of providing categories that are mutually exclusive. The independence of these diagnostic categories from each other does not appear to hold up on empirical testing. In the absence of inherently mutually exclusive categories, further empirical investigation of these classes is obstructed since statistically valid analysis of the nominal data and any useful multivariate analysis would be difficult if not impossible. It is concluded that the existing classifications are unsatisfactory and require some fundamental reconceptualization.