Comparative evaluation of research diagnostic criteria for schizophrenia.
Comparative evaluation of research diagnostic criteria for schizophrenia.
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精神分裂症研究诊断标准的比较评价。
DOI：
10.1001/archpsyc.1979.01780110052006
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发表时间：
1979
影响因子：
--
通讯作者：
L. Hollister
中科院分区：
文献类型：
--
作者：
J. Overall;L. Hollister
几位不同的作者提出了精神分裂症的诊断标准。本研究在一项多中心研究中对166例接受精神分裂症临床诊断的患者进行了6种不同研究诊断标准（RDC）的比较。不同的标准在临床诊断被证实的比例上有所不同，华盛顿大学（费纳）的标准只接受26%。对于哪些特定患者有资格进行诊断，标准也存在分歧。华盛顿大学和纽约研究开发中心在50%的时间里意见不一致，其他一些大学的意见不一致率甚至更高。在允许武断的标准重新定义精神分裂症的概念之前，需要更多的评估性研究。
Criteria for establishing a diagnosis of schizophrenia have been proposed by several different authors. This study compared six different research diagnostic criteria (RDC) in a series of 166 patients who received a clinical diagnosis of schizophrenia in a multicenter study. The alternative criteria differed in the proportion of clinical diagnoses that were confirmed, with the Washington University (Feighner) criteria accepting only 26%. The criteria also disagreed concerning which particular patients qualified for the diagnosis. The Washington University and New York RDC disagreed 50% of the time, and some other disagreement rates were even higher. More evaluative research is needed before arbitrary criteria are permitted to redefine the concept of schizophrenia.