精神分裂病に対する薬物療法の効果判定表に関する研究(第1報)
1967 年 21 巻 2 号 p. 145-150
詳細
1967 年 21 巻 2 号 p. 145-150
In order to evaluate the effect of the pharmacological treatment for the patients of the schizophrenia objectively and quantitatively, the rating scale was devised. The scale is consist of the following 12 items:
1. Abnormality in physical movement
2. Abnormality in the frequency of speaking
3. Abnormality in emotion
4. Abnormality in interpersonal response
5. Thinking disturbance
6. Delusion
7. Hallucination and “Ich Störungen”
8. Hypochondria and neurotic complaint
9. Attitude for his own disease
10. Attitude for others
11. Daily life
12. Occupational and recreational therapy Each item is ranked from 4 to 0 in order of the degree of severity.
In principle, the situations of selection and dose of medicines used by the physician are taken into the consideration. For example, when psychiatric affair is the problem, such detailed psychiatric classification as hallucination and “Ichstörung” are not considered, but their influence on the behavior is considered. As a whole, it requires complicated and generalized judgement for the evaluation rather than simple consideration. Therefore, the judgement is made by the physician and the items of judgement are always understood by the physician, therefore no particular explanation is required for the judgement. The difference of the objective judgements made by several physicians were compared, and r was lied between 0.73 and 0.93, and it is quite precise criterion of the judgement for this kind.
Trial judgements using the scale for the judgement were made for 119 cases of the schizophrenia patients at 7 hospitals, and validity of the scale was proved to be sufficient.
