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精神医学中的通用生活质量评估。潜力与限制。

Generic quality of life assessment in psychiatry. Potentials and limitations.

出版信息

Eur Psychiatry. 1997;12(4):203-9. doi: 10.1016/S0924-9338(97)89106-7.

DOI:10.1016/S0924-9338(97)89106-7
PMID:19698533
Abstract

The term 'quality of life' has only recently been introduced to psychiatric outcome assessment. Current approaches to such assessment include the development of disease-specific quality of life instruments for psychiatric patient populations as well as the examination of generic quality of life instruments for use in psychiatric outcome studies. The current paper describes the psychiatric work with one example for a generic instrument: the short-form health survey questionnaire (SF-36). The 36 item patient-based questionnaire was developed within the Medical Outcome Study in the United States, was translated, validated and standardized in several countries and has been used in psychiatric settings. Results of epidemiological studies suggest that the SF-36 is applicable to psychiatric patients, is a psychometrically sound instrument also in this indication and yields relevant information in showing the degree of impairment in quality of life domains as experienced by psychiatric patients. The use of generic instruments in psychiatric population, such as the SF-36, might contribute to a better understanding of patients' quality of life as assessed in epidemiological studies, clinical trials and quality of care evaluations.

摘要

“生活质量”一词最近才被引入到精神科的结果评估中。目前,这类评估的方法包括针对精神科患者人群开发特定疾病的生活质量工具,以及检查通用生活质量工具,以用于精神科结果研究。本文描述了一个通用工具的精神科应用实例:简短健康调查问卷(SF-36)。该问卷由美国医疗结果研究发展而来,已被翻译成多种语言,在多个国家得到验证和标准化,并已用于精神科领域。流行病学研究的结果表明,SF-36 适用于精神科患者,在该适应证中也是一种具有良好心理测量学特性的工具,可以提供有关精神科患者生活质量受损程度的相关信息。在精神科人群中使用通用工具,如 SF-36,可能有助于更好地理解在流行病学研究、临床试验和医疗质量评估中评估的患者的生活质量。

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引用本文的文献

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Quality of life as patient-reported outcomes: principles of assessment.作为患者报告结局的生活质量:评估原则
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What do medical students think about their quality of life? A qualitative study.医学生如何看待自己的生活质量?一项定性研究。
BMC Med Educ. 2012 Nov 5;12:106. doi: 10.1186/1472-6920-12-106.
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Discriminant and convergent validity of a subjective quality-of-life instrument aimed at high content validity for schizophrenic persons.
旨在提高精神分裂症患者内容效度的主观生活质量工具的判别和收敛效度。
Qual Life Res. 2013 Jun;22(5):1113-22. doi: 10.1007/s11136-012-0221-8. Epub 2012 Jun 22.
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[Obsessive-compulsive disorder: psychosocial consequences and quality of life: a review].[强迫症:心理社会后果与生活质量:综述]
Nervenarzt. 2011 Mar;82(3):281-2, 284, 286, passim. doi: 10.1007/s00115-010-2961-4.
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Eating disorders and emotional and physical well-being: associations between student self-reports of eating disorders and quality of life as measured by the SF-36.饮食失调与身心健康:学生自我报告的饮食失调与SF-36所衡量的生活质量之间的关联
Qual Life Res. 2005 Apr;14(3):705-17. doi: 10.1007/s11136-004-0792-0.