Reliability of clinical assessment of blunted affect

Abstract
The affect of 20 chronic schizophrenic in-patients was assessed by 2 psychiatrists using 2 rating scales. The interview recordings were reviewed 3 times, with auditory information only (the audio review), with visual information only (the visual review) and with both (the audio-visual review). The blunted affect score correlated strongly with the total score of the verbal items of scales but did not when a single mode of information was given. Since the absolute values of the blunted affected score were lower in the visual review than in the live interview and in the audio-visual review, it was speculated that speech tended to bias the assessment of affect.

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