Salvi Giovanni, Leese Morven, Slade Mike
Department of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona, Verona, Italy.
Br J Psychiatry. 2005 Feb;186:146-52. doi: 10.1192/bjp.186.2.146.
There is little consensus about which outcome measures to use in mental healthcare.
To investigate the relationship between the items in four staff-rated measures recommended for routine use.
Correlation analysis of total scores and factor analysis using combined data from the Health of the Nation Outcome Scales (HoNOS). The Camberwell Assessment of Need Short Appraisal Schedule (CANSAS), the Threshold Assessment Grid (TAG) and the Global Assessment of Functioning (GAF) were performed. Procrustes analysis on factors and scales, and Ward's cluster analysis to group the items, were applied.
The total scores of the measures were moderately correlated. The Procrustes analysis, factor analysis and cluster analysis all agreed on better coverage of the patients' problems by HoNOS and CANSAS.
A global severity factor accounts for 16% of the variance, and is best measured with TAG or GAF. The CANSAS and HoNOS each provide a detailed characterisation of the patient; only CANSAS provides information about met needs.
在精神卫生保健中使用哪些结果测量指标几乎没有共识。
调查推荐用于常规使用的四项工作人员评定测量指标中的项目之间的关系。
使用来自《国家健康结果量表》（HoNOS）、《坎伯韦尔需求评估简短评估表》（CANSAS）、《阈值评估网格》（TAG）和《功能总体评估》（GAF）的综合数据进行总分的相关性分析和因子分析。对因子和量表进行普罗克汝斯分析，并应用沃德聚类分析对项目进行分组。
这些测量指标的总分呈中度相关。普罗克汝斯分析、因子分析和聚类分析均一致认为，HoNOS和CANSAS对患者问题的覆盖更好。
一个总体严重程度因子占方差的16%，用TAG或GAF测量效果最佳。CANSAS和HoNOS各自提供了患者的详细特征；只有CANSAS提供了关于已满足需求的信息。
