The Comprehensive Assessment of Symptoms and History (CASH). An instrument for assessing diagnosis and psychopathology.
The Comprehensive Assessment of Symptoms and History (CASH). An instrument for assessing diagnosis and psychopathology.
复制标题
DOI：
10.1001/archpsyc.1992.01820080023004
复制
发表时间：
1992-08
影响因子：
--
通讯作者：
N. Andreasen;M. Flaum;Stephan Arndt
中科院分区：
文献类型：
--
作者：
N. Andreasen;M. Flaum;Stephan Arndt
症状和病史的综合评估是为精神分裂症谱系条件和情感谱系条件的研究而开发的。它旨在提供一个全面的信息库，涉及当前和过去的体征和症状，病前功能，认知功能，社会人口状况，治疗和病程。由于信息基础广泛，它不拘泥于特定的诊断系统，而是允许临床医生和研究人员使用广泛的系统进行诊断，包括研究诊断标准，DSM-III，DSM-III-R和国际疾病分类。鉴于精神病学中的障碍没有在病因学或病理生理学水平上定义的事实，随着我们知识基础的变化，诊断标准倾向于不断修订。研究策略建议，研究者应该保持一个灵活的数据库，使他们能够适应诊断系统的变化，做比较疾病分类学研究，并最终开发新的诊断系统的基础上的知识有关的神经生物学性质的疾病。因为它提供了一个全面的信息库，症状和病史的综合评估促进了这类研究。广泛的发展工作已经完成了症状和病史的综合评估，包括评分者间和重测信度研究，有效性研究，培训计划和数据输入程序。
The Comprehensive Assessment of Symptoms and History was developed for research studies of schizophrenia spectrum conditions and affective spectrum conditions. It is designed to provide a comprehensive information base concerning current and past signs and symptoms, premorbid functioning, cognitive functioning, sociodemographic status, treatment, and course of illness. Because the information base is broad, it is not wedded to a specific diagnostic system but rather permits clinicians and investigators to make diagnoses using a wide range of systems, including Research Diagnostic Criteria, DSM-III, DSM-III-R, and the International Classification of Diseases. Given the fact that disorders in psychiatry are not defined at the etiological or pathophysiological level, diagnostic criteria are prone to ongoing revision as our knowledge base changes. Research strategies suggest that investigators should maintain a flexible database to permit them to adapt to changes in diagnostic systems, to do comparative nosological studies, and, ultimately, to develop new diagnostic systems based on knowledge concerning the underlying neurobiological nature of disorders. Because it provides a comprehensive information base, the Comprehensive Assessment of Symptoms and History facilitates research of this type. Extensive developmental work has been done with the Comprehensive Assessment of Symptoms and History, including interrater and test-retest reliability studies, validity studies, training programs, and data entry programs.