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題 名 | Patient-and Family-Rated Scale for Bipolar Disorder Symptoms: Internal State Scale=雙極型情緒疾患患者及家屬對疾病症狀之自我評估量表:內在狀態量表之研究 |
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作 者 | 黃介良; 楊延光; 陳昭誠; 李怡慧; 葉宗烈; 楊明仁; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 19:4 2003.04[民92.04] |
頁 次 | 頁170-176 |
分類號 | 415.95 |
關鍵詞 | 雙極性情緒疾患; 精神病理; 自評量表; Bipolar disorder; Psychopathology; Self-rating scale; |
語 文 | 英文(English) |
中文摘要 | 本文針對某南部醫院精神科急性病房及門診經診斷之 58 位雙極型情感疾患患者,診斷確立係由專科醫師採漢式憂鬱量表(HDRS)及楊式躁症量表(YMRS)之評估,並在 24 小時內由病患填寫內在狀態量表患者版(ISS-P)以及由家屬填寫內在狀態量表家屬版(ISS-F);此後每個月追蹤患者及家屬內在狀態量表,並且在病程顯著轉變時再次進行同步之醫師、患者及家屬評估。內在狀態量表分為二個次分項,分別為活動力健康及激動分項,患者版兩個分項與楊式躁症量表呈正相關,活動力健康分項與漢式憂鬱量表呈負相關;家屬版激動分項與漢式憂鬱量表呈正相關。本研究試圖發展雙極型情緒疾患之中文化病患及家屬之臨床精神病理評估工具,藉此進一步之瞭解並發展長期治療之工具及模式。內在狀態量表之效度良好,預測效度則待進一步考證。在臨床使用上,建議患者版可完整使用,活動力健康及激動分項可使用於躁期,活動力健康分項可使用於鬱期;而家屬版可注重顯著相關之題目(激躁症狀:第 2,4,16題;憂鬱症狀:第 7,12,13,20 題),此量表可協助病患及家屬自我監控雙極性情緒疾患之病況,若合併使用此量表,將有助於協助專業人員於社區追蹤時監視病情。 |
英文摘要 | The monitoring of patients, by themselves and their caregivers, is very important in the prophylaxis of bipolar disorder. This study aimed to develop a Chinese-language version of an instrument for assessment of manic and depressive symptoms by patients and their families. Fifty-eight inpatients and outpatients with a DSM-IV (Diagnostic and Statistical Manual of Mental Disorders) diagnosis of bipolar disorder were recruited. All subjects underwent clinical psychopathologic assessment by experienced psychiatrists using the Young Mania Rating Scale (YMRS) and the Hamilton Depression Rating Scale (HDRS). At the same time, each patient and key family members filled out the Chinese-language version of the Internal State Scale (ISS) for monitoring mental symptoms. Patients were examined a second time if they had entered remission or a new episode of the opposite polarity. The ISS was divided into two subscales, of well-being/activation and of irritability. Patients’ well-being/activation and irritability subscales were significantly correlated with YMRS scores and the well-being/activation subscale was also significantly correlated with the HDRS score. Family members’ irritability subscales were significantly correlated with HDRS scores only. The reliability and constructive validity of the ISS was good in both patients with bipolar disorder and their families. |
本系統中英文摘要資訊取自各篇刊載內容。