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首页> 外文期刊>Nordic journal of psychiatry. >Rorschach Inkblot Method data at baseline and after 2 years treatment of consecutively admitted patients with first-episode schizophrenia
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Rorschach Inkblot Method data at baseline and after 2 years treatment of consecutively admitted patients with first-episode schizophrenia

机译：连续入院的首发精神分裂症患者在基线和治疗2年后的Rorschach墨迹图数据

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Background: The Rorschach Inkblot Method is regarded as an important clinical instrument for detailed diagnostic description of the integrative capacities of individuals in psychotic states and as an instrument for measuring progression in the course of treatment. Aims: To describe relevant Rorschach variables at baseline in a group of consecutively admitted patients with first-episode schizophrenia. Furthermore, to describe the changes in these variables from baseline to year 2 for the group of patients given psychiatric standard treatment, and to compare these changes with changes in other outcome measures [Positive and Negative Syndrome Scale (PANSS), Global Assessment of Functioning (GAF), Strauss-Carpenter and socio-demographic variables]. Methods: In a prospective study, 34 patients consecutively admitted to treatment for a first episode of schizophrenia were tested using Exner's Rorschach Comprehensive System at inclusion and after 2 years. Results: Core variables of the Rorschach, assumed to show changes (e.g. reality testing, perceptual and thought disorders) in patients with a first episode of schizophrenia, all improved but revealed no significant changes after 2 years of treatment, while other measurements (PANSS, GAF) did. Furthermore, discrepancies were found between the Perceptual-Thinking Index (PTI) and PANSSpositive symptoms of delusions and hallucinations. Conclusion: The small sample limits the conclusions, but the Rorschach variables may have problems reflecting major changes in psychotic symptoms and social functioning. With short protocols, PTI seems at risk of being unnecessarily insensitive and PTI may benefit from changes in the scoring procedures.
机译：背景：罗夏墨迹测验法（Rorschach Inkblot Method）被视为重要的临床工具，可对精神状态下的个体的综合能力进行详细的诊断描述，并可以衡量治疗过程中的进展。目的：描述一组先入为主的精神分裂症患者的基线时相关的罗夏变量。此外，为了描述接受精神科标准治疗的一组患者从基线到第二年这些变量的变化，并将这些变化与其他结局指标的变化进行比较[阳性和阴性综合征量表（PANSS），整体功能评估（ GAF），Strauss-Carpenter和社会人口统计学变量]。方法：在一项前瞻性研究中，使用Exner's Rorschach综合系​​统在入选时和2年后对34例因精神分裂症首发而连续入院的患者进行了测试。结果：Rorschach的核心变量被假定能够显示出精神分裂症首发患者的变化（例如，现实测试，知觉和思想障碍），所有这些变量均得到改善，但在治疗2年后并未显示出明显变化，而其他测量值（PANSS， GAF）做到了。此外，在妄想和幻觉的感知思维指数（PTI）和PANSS阳性症状之间发现了差异。结论：少量样本限制了结论，但是Rorschach变量可能存在反映精神病症状和社会功能发生重大变化的问题。如果使用简短的协议，PTI可能会变得不必要地不敏感，并且PTI可能会受益于评分程序的更改。

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