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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 ,
M. C. Hardy-Baylé ,
S. Lancrenon ,
J. Fermanian ,
Y. Sarfati ,
C. Passerieux  and
J. F. Chevalier
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.

Keywords

esquizofreniatrastornos de la comunicaciónescala de estimacióndisfunción cognitiva
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 5 , Issue 3 , April 1998 , pp. 174 - 189
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

References

BIBLIOGRAFÍA

American Psychiatric Association. Diagnostic and statistical Manual o f Mental Disorders (3rd ed) (DSM-llI). Washington, DC: APA, 1980.Google Scholar
Andreasen, NC. Thought, langage and communication disorders. Clinical assessment, definition of terms, and evaluation of their reliability. Arch Gen Psychiatry 1979a; 36: 1315-21.CrossRefGoogle Scholar
Andreasen, NC. Thought, language and communication disorders. Diagnostic significance. Arch Gen Psychiatry 1979b; 36: 1325-30.CrossRefGoogle Scholar
Andreasen, NC. The Scale for the Assessment o f Negative Symptoms (SANS). Iowa City: University of Iowa, 1983.Google Scholar
Andreasen, NC. The Scale for the Assessment o f Positive Symptoms (SAPS). Iowa City: University of Iowa, 1984.Google Scholar
Arndt, SAlliger, RJAndreasen, NC. The distinction of positive and negative symptoms. The failure of a twodimensional model. Br J Psychiatry 1991; 158: 317-22.CrossRefGoogle Scholar
Bilder, RMMurkherjee, SRieder, ROPandurangi, AK. Symptomatic and neuropsychological components of defect States. Schizophren Bull 1985; 11: 409-19.CrossRefGoogle ScholarPubMed
Bleuler, E. Dementia praecox out groupe des schizophrénies. [Translation: A Viallard], Paris: EPEL GREC, 1993.Google Scholar
Brown, KWWhite, T. Syndromes of chronic schizophrenia and some clinical correlates. Br J Psychiatry 1992; 161: 317-22.CrossRefGoogle ScholarPubMed
Cassens, GInglis, APS, Appelbaum et al. Neuroleptics: effects on neuropsychological function in chronic schizophrenic patients. Schizophren Bull 1990; 16: 477-99.CrossRefGoogle ScholarPubMed
Chapman, IJChapman, JPDant, BL. Schizophrenic inability to disattend from strong aspects of meaning. J Abnorm Psychol 1976; 85: 35–40.CrossRefGoogle Scholar
Cooper, JEKendell, REBJ, Gurland et al. Psychiatric diagnosis in New York and London. In: Maudsley Monograph. Series no 20. London: Oxford University Press, 1972.Google Scholar
Dollfus, SPetit, MLesieur, PMenard, JF. Principal-component analysis of PANSS and SANS-SAPS global ratigns in schizophrenic patients. Eur Psychiatry 1991; 6: 251-9.CrossRefGoogle Scholar
Frencekll Von, R. Impressions cliniques globales [Overall clinical impressions], In: JD, Guelfi et al, eds. Eche lies d’ évaluation en psychiatrie. Paris: Fabre, 1992: 93-7.Google Scholar
Frith, CD. The Cognitive neuropsychology of schizophrenia. Hove (UK), Hillsdale (USA): Lawrence Erlbaum Associates, 1992.Google Scholar
Gibbson, RDLewine, RRJDavis, JMScholler, NRCole, JO. An empirical test of Krepelinian versus a Bleulerian view of negative symptoms. Schizophren Bull 1985; 11: 16–45.Google Scholar
Gur, REMozley, PDResnick, SMLevick, SErwin, RAJ, Saykin et al.Relations among clinical scale in schizophrenia. Am J Psychiatry 1991; 148: 675-7.Google Scholar
Hardy-Baylé, MC.Organisation de l’action, phénomènes de conscience et représentation mentale de Faction chez les schizophrènes. Actual Psychiatr 1994; 1: 9–18.Google Scholar
Hardy-Baylé, MC, Passerieux, CClaudel, BOlivier, VChevalier, JF. Les troubles de la communication chez les schizophrènes: explication cognitive et relecture clinique. Encephale 1994; 20: 393–400.Google Scholar
Harrow, MGrossman, LSSilverstein, MLMeltzer, HY. Thought pathology in manic and schizophrenic patients: its occurrance at hospital admission and seven weeks later. Arch Gen Psychiatry 1982; 39: 665-71.CrossRefGoogle Scholar
Harrow, MSilverstein, MLMarengo, J. Disorder thinking. Does it identify nuclear schizophrenia? Arch Gen Psychiatry 1983; 40: 765-71.CrossRefGoogle Scholar
Harrow, MMarengo, JT. Schizophrenic thought disorder af follow-up: its persistence and prognostic significance. Schizophren Bull 1986; 12: 373-92.CrossRefGoogle Scholar
Harvey, PD. Reality monitoring in mania and schizophrenia. J Nerv Ment Dis 1985; 173: 67–73.CrossRefGoogle Scholar
Holzman, PSShenton, MESolovay, MR. Quality of thought disorder in differential diagnosis. Schizophren Bull 1986; 12: 360-71.CrossRefGoogle ScholarPubMed
Hymowitz, PSpohn, H. The effect of antipsychotic medication on the linguistic ability of schizophrenics. J Nerv Ment Dis 1980; 168: 287-96.CrossRefGoogle Scholar
Johnston, MHHolzman, PS. Assessing Schizophrenic Thinking. San Francisco: Jossey Bass, 1979.Google Scholar
Kay, SR Fisz-Bein, AOpler, LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophren Bull 1987; 13: 261-74.CrossRefGoogle Scholar
Kulhara, PChandiramani, K. Positive and negative subtypes of schizophrenia: a follow-up study of India. Schizophr Res 1990; 3: 107-16.CrossRefGoogle Scholar
Lepine, JPPiron, JJChapotot, E. Factor analysis of the PANSS in shizophrenic patients. VIH Congrès Mondial de Psychiatrie. Athens: Abstract 3232, 1989.Google Scholar
Liddle, PF. The Symptoms of chronic schizophrenia. A reexamination of the positive-negative dichotomy. Br J Psychiatry 1987a; 151: 145-51.CrossRefGoogle Scholar
Liddle, PF. Schizophrenic syndromes, cognitive performance and neurological dysfunction. Psychol Med 1987b; 17: 49–57.CrossRefGoogle Scholar
Liddle, PFBarnes, TREMorris, DHaque, S. Three syndromes in chronic schizophrenia. Br J Psychiatry 1989; 155 (Suppl 7): 119-22.CrossRefGoogle Scholar
Minas, IHStuart, GWJackson, HJSingh, BSCopolov, DL. Positive and negative symptoms in the psychoses: multidimensional scaling of SAPS and SANS Items. Schizophr Res 1992; 8: 143-56.CrossRefGoogle ScholarPubMed
Montgomery, SAAsberg, M. A new depression scale designed to be sensitive to change. Br J Psychiatry 1979; 134: 382-9.CrossRefGoogle ScholarPubMed
Mortimer, AMLund, CEMcKenna, PJ. The positivenegative dichotomy in schizophrenia. Br J Psychiatry 1990; 157: 41-9.CrossRefGoogle Scholar
Moscarelli, MMaffei, LBM, Cesana et al. An international perspective on assessment of positive and negative symptoms in schizophrenia. Am J Psychiatry 1987; 144, 1595-8.Google Scholar
Organisation Mondiale de la Santé. Classification internationale des troubles mentaux et des troubles du comportement. Description Clinique et Directives pour le Diagnostic. CIM-10/ICD-10. Paris: Masson, 1994.Google Scholar
Peralta, V De Leon, JCuesta, MJ. A critique of the positivenegative dichotomy. Br J Psychiatry 1992; 161: 335-43.CrossRefGoogle Scholar
Sarfaty, Y Hardy-Baylé MC, Nadel, JChevalier, JF Widlöcher, D. Attribution of mental States of others in schizophrenic patients. Cognit Neuropsychiatry 1997; 2: 1–17.CrossRefGoogle Scholar
Schneider, K. Clinical Psychopathology. [Translation: Hamilton]. New York: Grune & Stratton Inc, 1959.Google Scholar