Ready Rebecca E, Clark Lee Anna
Department of Psychology, University of Iowa, USA.
Psychol Assess. 2002 Mar;14(1):39-49.
Psychological assessment of psychiatric patients frequently relies on self-report, yet descriptions from patients often are regarded as suspect. Investigation of agreement between reports from patients versus knowledgeable informants is critical to assessing the validity of self-ratings. Self- and informant reports of temperament, personality traits, and interpersonal problems were collected from an adult, nonpsychotic psychiatric sample (N = 90). The majority of patients had depressive diagnoses (62%), were female (81%), and were Caucasian (98%). Few mean-level differences between self- and informant reports were found. Self-informant agreement correlations were comparable in magnitude and variability to findings from nonclinical samples. Results suggest that the overall effect of psychopathology on self-ratings of personality traits, temperament, and interpersonal problems was minimal in the authors' patient sample. This conclusion runs counter to the intuitively appealing notion that psychopathology has a detrimental effect on self-awareness.
对精神科患者的心理评估常常依赖于自我报告，但患者的描述往往被视为不可信。调查患者报告与知情者报告之间的一致性对于评估自我评分的有效性至关重要。从一个成年非精神病性精神科样本（N = 90）中收集了关于气质、人格特质和人际问题的自我报告与知情者报告。大多数患者被诊断为抑郁症（62%），女性占81%，白种人占98%。自我报告与知情者报告之间几乎没有发现平均水平差异。自我与知情者的一致性相关性在大小和变异性上与非临床样本的研究结果相当。结果表明，在作者的患者样本中，精神病理学对人格特质、气质和人际问题自我评分的总体影响微乎其微。这一结论与精神病理学对自我意识有不利影响这一直观上有吸引力的观点相悖。
