Carsky M, Selzer M A, Terkelsen K, Hurt S W
Department of Psychiatry, New York Hospital-Cornell University Medical Center, White Plains 10605.
J Nerv Ment Dis. 1992 Jul;180(7):458-64.
The aim of this research project was to develop an instrument to measure acknowledgment and denial of illness in hospitalized psychiatric patients. The investigators developed a 23-item, 4-point self report scale, the Patient's Experience of Hospitalization (PEH), and collected validity data from a sample of inpatients. A total of 29 subjects completed the PEH, the Marlowe-Crowne Social Desirability Inventory (MCSD), the MMPI, and a Global Assessment Scale (GAS) report. The patients' psychotherapists also provided GAS scores. Kuder Richardson split-half reliability and point biserial correlations of 18 items were adequate. The PEH total score correlated significantly and positively with the difference between the GAS scores assigned to the patient by the patient and by the therapist, with the patient's self-report GAS score, with MCSD scores and with the MMPI L and K scales, considered to assess crude and subtle defensive denial. Correlations with MMPI clinical scales (symptom reports) were negative, further supporting the idea of the PEH as a measure of denial.
本研究项目的目的是开发一种工具，用于测量住院精神科患者对疾病的认知和否认情况。研究人员开发了一个包含23个项目、4级自评量表——患者住院体验量表（PEH），并从住院患者样本中收集了效度数据。共有29名受试者完成了PEH、马洛-克罗恩社会赞许性量表（MCSD）、明尼苏达多相人格调查表（MMPI）以及一份总体评估量表（GAS）报告。患者的心理治疗师也提供了GAS评分。库德-理查森分半信度以及18个项目的点二列相关系数是足够的。PEH总分与患者和治疗师给患者评定的GAS评分之差、患者的自我报告GAS评分、MCSD评分以及MMPI的L和K量表（被认为用于评估粗略和微妙的防御性否认）显著正相关。与MMPI临床量表（症状报告）的相关性为负，进一步支持了将PEH作为否认测量工具的观点。
