Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Bologna, Italy.
Psychother Psychosom. 2012;81(6):333-43. doi: 10.1159/000341757. Epub 2012 Sep 6.
Clinimetrics was introduced three decades ago to specify the domain of clinical markers in clinical medicine (indexes or rating scales). In this perspective, clinical validity is the platform for selecting the various indexes or rating scales (macro-analysis). Psychometric validation of these indexes or rating scales is the measuring aspect (micro-analysis).
Clinical judgment analysis by experienced psychiatrists is included in the macro-analysis and the item response theory models are especially preferred in the micro-analysis when using the total score as a sufficient statistic.
Clinical assessment tools covering severity of illness scales, prognostic measures, issues of co-morbidity, longitudinal assessments, recovery, stressors, lifestyle, psychological well-being, and illness behavior have been identified.
The constructive dialogue in clinimetrics between clinical judgment and psychometric validation procedures is outlined for generating developments of clinical practice in psychiatry.
临床计量学三十年前被引入临床医学，用于指定临床标志物的领域（指数或评分量表）。从这个角度来看，临床有效性是选择各种指数或评分量表的基础（宏观分析）。这些指数或评分量表的心理计量学验证是测量方面（微观分析）。
宏观分析中包括经验丰富的精神科医生的临床判断分析，而当使用总分作为充分统计量时，微观分析中特别倾向于使用项目反应理论模型。
已经确定了涵盖疾病严重程度量表、预后措施、合并症问题、纵向评估、恢复、应激源、生活方式、心理健康和疾病行为的临床评估工具。
为了促进精神病学临床实践的发展，围绕临床判断和心理计量学验证程序之间的建设性对话，勾勒出临床计量学的发展。
