Schalast Norbert, Redies Mirja, Collins Mick, Stacey Jacqueline, Howells Kevin
Institute of Forensic Psychiatry, University Duisburg-Essen, Essen, Germany.
Crim Behav Ment Health. 2008;18(1):49-58. doi: 10.1002/cbm.677.
A supportive ward atmosphere is considered by many to be a precondition for successful treatment in forensic psychiatry, but there is a clear need for a valid and economic climate evaluation instrument.
To validate a short questionnaire, designed for assessing forensic psychiatric wards. Climate dimensions measured with the 'Essen Climate Evaluation Schema' (EssenCES) are 'Therapeutic Hold', 'Patients' Cohesion and Mutual Support' and 'Safety' (versus threat of aggression and violence).
In 17 forensic mental hospitals in Germany, patients and staff completed the EssenCES and other questionnaires. Problematic events were recorded over a period of 3 weeks on each ward.
The anticipated three factor structure of the instrument was confirmed. The pattern of correlations also provided support for the validity of the subscales.
The climate questionnaire is an economic and valid instrument for assessing the ward atmosphere in forensic psychiatry. Findings from a pilot study in England give confidence to the structural validity of the English version too.
许多人认为支持性的病房氛围是法医精神病学成功治疗的前提条件，但显然需要一种有效且经济的氛围评估工具。
验证一份为评估法医精神病房而设计的简短问卷。用“埃森氛围评估量表”（EssenCES）测量的氛围维度包括“治疗掌控”、“患者凝聚力与相互支持”以及“安全”（与攻击和暴力威胁相对）。
在德国的17家法医精神病医院，患者和工作人员完成了埃森氛围评估量表及其他问卷。在每个病房记录为期3周的问题事件。
该工具预期的三因素结构得到证实。相关性模式也为各子量表的有效性提供了支持。
氛围问卷是评估法医精神病学病房氛围的一种经济且有效的工具。在英国进行的一项试点研究结果也让人们对英文版的结构效度充满信心。
