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首页> 外文期刊>The British journal of psychiatry : >Diagnostic significance of Schneider's first-rank symptoms in schizophrenia. Comparative study between schizophrenic and non-schizophrenic psychotic disorders.
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Diagnostic significance of Schneider's first-rank symptoms in schizophrenia. Comparative study between schizophrenic and non-schizophrenic psychotic disorders.

机译：Schneider头等症状在精神分裂症中的诊断意义。精神分裂症和非精神分裂症精神病性疾病的比较研究。

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摘要

BACKGROUND: Despite the lack of consistent empirical support, modern diagnostic criteria of schizophrenia give particular emphasis to Schneider's first-rank symptoms (FRSs). AIMS: To examine the diagnostic significance of FRSs for schizophrenia by trying to overcome the limitations of previous studies. METHODS: This study examined the diagnostic accuracy of FRSs for schizophrenia in 660 in-patients with the full spectrum of functional psychotic disorders. Schizophrenia was diagnosed according to three criteria: DSM-III-R broad, DSM-III-R narrow and Feighner, the latter being considered as the gold standard because it does not give particular emphasis of FRSs. RESULTS: FRSs were highly prevalent in both schizophrenia and non-schizophrenic psychoses. The likelihood ratios (and 95% CI) of one or more FRSs for Feighner, DSM-III-R narrow and DSM-III-R broad schizophrenia were 1.06 (0.94-1.20), 1.23 (1.09-1.39) and 1.73 (1.44-2.08), respectively. These data indicate that FRSs do not significantly increase the likelihood of having schizophrenia. CONCLUSIONS: FRSs are not useful in differentiating schizophrenia from other psychotic disorders. Diagnostic systems for schizophrenia that are heavily based on these symptoms may arise from a tautological definition of the disorder.
机译：背景：尽管缺乏一致的经验支持，但现代的精神分裂症诊断标准特别强调了施耐德的头等症状（FRS）。目的：通过尝试克服先前研究的局限性，研究FRS对精神分裂症的诊断意义。方法：本研究检查了FRS对660例全功能性精神病患者的精神分裂症的诊断准确性。精神分裂症的诊断依据三个标准：DSM-III-R宽，DSM-III-R窄和Feighner，后者被认为是金标准，因为它并未特别强调FRS。结果：FRSs在精神分裂症和非精神分裂症精神病中都非常普遍。 Feighner，DSM-III-R窄型和DSM-III-R宽型精神分裂症的一种或多种FRS的似然比（和95％CI）为1.06（0.94-1.20），1.23（1.09-1.39）和1.73（1.44- 2.08）。这些数据表明FRS不会显着增加患精神分裂症的可能性。结论：FRS在区分精神分裂症和其他精神病方面没有用。很大程度上基于这些症状的精神分裂症诊断系统可能来自该疾病的重言式定义。

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