《德国版国民健康结果量表（HoNOS-D）的有效性：一种临床医生评定工具，用于对精神障碍严重程度进行差异化评估》。
The validity of the German version of the Health of the Nation Outcome Scales (HoNOS-D): a clinician-rating for the differential assessment of the severity of mental disorders.
机构信息
Department of Medical Psychology, Centre of Psychosocial Medicine, University Medical Centre Hamburg-Eppendorf, Germany.
出版信息
Int J Methods Psychiatr Res. 2010 Mar;19(1):50-62. doi: 10.1002/mpr.305.
The Health of the Nation Outcome Scales (HoNOS) is an internationally-established clinician-rating instrument for the differential assessment of the severity of patients with mental disorders. The aim of this study was to examine the validity of the German version of the HoNOS (HoNOS-D). Evaluation of validity, including factor validity, convergent and discriminant validity and sensitivity to change, was conducted on a large, virtually representative, clinical sample of patients with mental disorders in inpatient psychotherapy (Study 1, N = 3169). Additional assessment of criterion-based validity was completed using another clinical sample of patients with mental disorders (Study 2, N = 55). Although factor validity of the HoNOS-D and its total score could not be confirmed as expected, the majority of single items of the HoNOS-D proved to be valid in terms of convergent validity, criterion-based validity and sensitivity to change. Hence, single items, rather than the total score of the HoNOS-D, can be recommended for obtaining a picture of the impairment of patients with mental disorders in the clinical setting.
《国家健康评定量表》（HoNOS）是一种国际上确立的临床医生评定工具，用于对精神障碍患者的严重程度进行差异评估。本研究的目的是检验 HoNOS 德语版（HoNOS-D）的有效性。在一项针对精神障碍住院心理治疗患者的大型、实际代表性临床样本（研究 1，N=3169）中，对有效性进行了评估，包括因子有效性、收敛有效性和判别有效性以及对变化的敏感性。使用另一组精神障碍患者的临床样本（研究 2，N=55）完成了基于标准的有效性的额外评估。尽管 HoNOS-D 的因子有效性及其总分不能像预期的那样得到证实，但 HoNOS-D 的大多数单项都证明在收敛有效性、基于标准的有效性和对变化的敏感性方面是有效的。因此，建议在临床环境中获取精神障碍患者的损害情况时，使用单项而不是 HoNOS-D 的总分。
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