Diagnostic criteria and five-year outcome in schizophrenia. A report from the International Pilot Study of schizophrenia.
Diagnostic criteria and five-year outcome in schizophrenia. A report from the International Pilot Study of schizophrenia.
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精神分裂症的诊断标准和五年结果。
DOI：
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发表时间：
1975
影响因子：
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通讯作者：
J. Strauss
中科院分区：
文献类型：
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作者：
A. B. Hawk;W. Carpenter;J. Strauss
对131名患者进行了系统的精神病评估（精神分裂症国际试点研究的美国队列）。五年后，在对这些患者的63%进行随访评估时，对九个领域的结果功能进行了评估。对66个临床和人口统计学变量的分析表明，成功随访的患者代表了整个队列。初步评估和随访结果评估的诊断数据被用来检查精神分裂症的诊断标准和结果之间的关系。应用Langfeldt、Schneider和Carpenter等人定义的精神分裂症诊断标准未能定义不良结局组。传统的精神分裂症亚型相比，结果没有差异。61例诊断为精神分裂症的患者的总体结局是异质性的。然而，尽管有重叠，精神分裂症队列的平均结果比19例非精神分裂症患者差。
Systematic psychiatric assessment was undertaken on 131 patients (the American cohort of the International Pilot Study of Schizophrenia). Nine areas of outcome functioning were assessed five years later at follow-up evaluation on 63% of these patients. An analysis of 66 clinical and demographic variables established that the patients sucessfully followed-up were representatives of the entire cohort. Diagnostic data from initial evaluations and follow-up outcome assessment were used to examine the relationship between diagnostic criteria and outcome in schizophrenia. Applying the criteria for schizophrenic diagnosis defined by Langfeldt, by Schneider, and Carpenter et al failed to define a poor outcome group. No difference in outcome was found when traditional schizophrenic subtypes were contrasted. Overall outcome in 61 patients with conditions diagnosed as schizophrenic was heterogeneous. However, despite overlap, the mean outcome in the schizophrenic cohort was poorer than in the 19 nonschizophrenic patients.