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Una escala de estimación para la evaluación de los trastornos de comunicación en los esquizofrénicos

Published online by Cambridge University Press:  12 May 2020

V. Olivier
Affiliation:
Departamento de Psiquiatría, Hospital Richaud, 1 rue Richaud, 78000Versalles
M. C. Hardy-Baylé
Affiliation:
Departamento de Psiquiatría, Hospital Richaud, 1 rue Richaud, 78000Versalles
S. Lancrenon
Affiliation:
Syliastat, 31 avenue du Général Leclerc, 92340, Bourg-la-Reine
J. Fermanian
Affiliation:
Departamento de Bioestadística, Hospital de los Niños Enfermos, 151 rue de Sévres, 75015París, Francia
Y. Sarfati
Affiliation:
Departamento de Psiquiatría, Hospital Richaud, 1 rue Richaud, 78000Versalles
C. Passerieux
Affiliation:
Departamento de Psiquiatría, Hospital Richaud, 1 rue Richaud, 78000Versalles
J. F. Chevalier
Affiliation:
Departamento de Psiquiatría, Hospital Richaud, 1 rue Richaud, 78000Versalles
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Resumen

Adoptando el enfoque de Bleuler de una descripción clínica basada en un modelo patógeno, proponemos una escala de estimación para la evaluación de los trastornos de la comunicación en los pacientes esquizofrénicos. La escala consta de elementos clínicos que podrían ser la expresión directa de las tres hipótesis de disfunción cognitiva que se han postulado para explicar la disfunción de la comunicación en estos pacientes. Evaluamos la frecuencia de los 16 elementos en la escala en un total de 80 sujetos (43 sujetos esquizofrénicos, 10 sujetos maniacos, 17 sujetos depresivos y 10 sujetos de control normales). Los resultados de este estudio mostraron que este listado de elementos era específico para los pacientes esquizofrénicos y, en particular, podía discriminar de manera estadísticamente significativa a los pacientes esquizofrénicos de los pacientes psicóticos con trastorno afectivo. Se exploraron las características metodológicas de la escala y se demostró su precisión, excepto para la fiabilidad, que es demasiado baja para algunos elementos, y la correlación de cada elemento con el grupo total, que es demasiado baja para un elemento de la escala.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 1998

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Footnotes

Oliver V, Hardy-Baylé MC, Lancrenon S, Fermanian J, Sarfati Y, Passerieux C, Chevalier JF. Rating scale for the assessment of communication disorders in schizophrenics. Eur Psychiatry 1997; 12: 352-361

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