A RATING SCALE FOR DEPRESSION

A RATING SCALE FOR DEPRESSION
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DOI:
10.1136/jnnp.23.1.56
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发表时间:
1960-01-01
影响因子:
11
通讯作者:
HAMILTON, M
HAMILTON, M
中科院分区:
医学1区
文献类型:
--
作者:
HAMILTON, M

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另一种用于测量精神障碍症状的评定量表的出现似乎是不必要的,因为已经存在许多评定量表,其中许多已被广泛使用。不幸的是,它不能说是完美的已经实现,事实上,有相当大的改进空间。等级量表的类型这一个的价值,及其局限性,可以最好地考虑其背景,所以它是有用的,以考虑各种等级量表现存的局限性。它们可以分为四组,第一组是为正常受试者设计的。患有精神障碍的患者在某些变量上得分非常高,这些高分可以作为他们疾病的衡量标准。这种量表可能非常有用,但有两个缺陷:许多症状在正常人身上找不到;精神疾病的症状和正常的行为变化之间伊萨着不太明显但更重要的质的差异。两者之间的区别不是哲学问题,而是生物学问题。生病时总是会失去功能,效率受损。
The appearance of yet another rating scale for measuring symptoms of mental disorder may seem unnecessary, since there are so many already in existence and many of them have been extensively used. Unfortunately, it cannot be said that per-fection has been achieved, and indeed, there is considerable room for improvement.Types of Rating Scale The value of this one, and its limitations, can best be considered against its background, so it is useful to consider the limitations of the various rating scales extant. They can be classified into four groups, the first of which hasbeen devised for use on normal subjects. Patients suffering from mental disorders score very highly on some of the variables and these high scores serve as a measure of their illness. Such scales can be very useful, but have two defects: many symptoms are not found in normal persons; and less obviously, but more important, there isa qualitative difference between symptoms of mental illness and normal variations of behaviour. The differencebetween the two is not a philosophical problembut a biological one. There is always a loss of function in illness, with impaired efficiency.