McLennan J D, Jansen-McWilliams L, Comer D M, Gardner W P, Kelleher K J
Department of Psychiatry, University of North Carolina at Chapel Hill, USA.
J Dev Behav Pediatr. 1999 Feb;20(1):24-30. doi: 10.1097/00004703-199902000-00004.
Clinicians' management of children with psychosocial problems may vary with their attitudes and beliefs. However, we lack sound instruments to assess these factors. This study examined the psychometric properties of the Physician Belief Scale (PBS). A modified version of the PBS was sent to clinicians who participated in two primary care research networks. Using factor analysis, we reduced the PBS to 14 items and 2 subscales. Cronbach's alpha values were high. Female clinicians, those using DSM-IV, and those having completed training earlier rated themselves as more psychosocially oriented. Identification and treatment of psychosocial problems were significantly related to scores on the Belief and Feeling subscale. The PBS provided only a modest amount of information regarding primary care practices. It is not clear if these limitations are attributable to the instrument or the many other barriers to effective psychosocial care.
临床医生对有心理社会问题儿童的管理可能因其态度和信念而异。然而，我们缺乏完善的工具来评估这些因素。本研究检验了医生信念量表（PBS）的心理测量特性。PBS的一个修改版本被发送给参与两个初级保健研究网络的临床医生。通过因子分析，我们将PBS缩减为14个项目和2个分量表。克朗巴哈系数值很高。女性临床医生、使用《精神疾病诊断与统计手册》第四版（DSM-IV）的医生以及较早完成培训的医生给自己的评分更高，认为自己更注重心理社会方面。心理社会问题的识别和治疗与信念和情感分量表的得分显著相关。PBS仅提供了关于初级保健实践的少量信息。尚不清楚这些局限性是归因于该工具还是有效心理社会护理的许多其他障碍。
