:(1) THE CODING OF PSYCHIATRIC SYMPTOMS

概要

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By the development of micro-computer and accompanying reduction of its cost, it became possible to attempt the computerization of clinical psychiatric chart by our hand.For this purpose it was neccessary first of all to convert the materials described in the chart to the codes to which the computer was accessible. In this paper, an effort for coding of the psychiatric symptoms was reported.It was an easy way to use one of the rating scales already prepared. However, in consideration of them it was judged that those were insufficient for the rating of affect blunting as well as for the rating of symptoms manifested in everyday life behaviour.From this viewpoint, we produced another psychiatric rating scale. This contained 420 items. Among them, severals were rated within the computer by a programm, actual items to be checked by the rater being 340.Whether this was feasible or not was examined by pairs of our 5 doctors interviewing 50 inpatients. Consistency of rating was 95% in avarage. Symptoms manifested in behaviour were lower in consistency of rating from an interview, being about 70%. Including these symptoms, however, reliability for the rating affect blunting and abulia was sufficient, consistency of rating being above 80%.Moreover, these symptoms of affect blunting and abulia were high in the frequency of appearance, and their importance was discussed in the computerization of the psychiatric chart
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