Cushman L A, Dijkers M P
University of Rochester School of Medicine and Dentistry, NY.
Arch Phys Med Rehabil. 1990 Mar;71(3):191-6.
This study examined the correspondence between staff ratings and patient ratings of depressed mood for 102 newly spinal cord injured persons admitted to two regional spinal cord injury rehabilitation centers. Patients rated their mood by using the Depression Adjective Check List (DACL). Treatment staff also rated each patient by completing the DACL as they thought the patient would have on the same day. Ratings were made every three weeks during a patient's stay. Results indicate that patients were generally similar to the general population in terms of self-rated depressed mood. Staff members typically overestimated levels of patients' depressed moods. Staff members' ratings did correlate significantly, although modestly, with patients' self-ratings (r = .34, p less than .001). However, staff's accuracy in estimating patient mood did not increase as a function of increased exposure to the patient or years of experience in rehabilitation.
本研究调查了102名新入住两个地区脊髓损伤康复中心的脊髓损伤患者的抑郁情绪在工作人员评分与患者自评之间的对应关系。患者使用抑郁形容词检查表（DACL）对自己的情绪进行评分。治疗人员也通过填写DACL对每位患者进行评分，评分依据是他们认为患者当天的情绪状况。在患者住院期间，每三周进行一次评分。结果表明，在自评抑郁情绪方面，患者总体上与普通人群相似。工作人员通常高估了患者的抑郁情绪水平。工作人员的评分与患者的自评之间存在显著相关性，尽管相关性较弱（r = 0.34，p < 0.001）。然而，工作人员对患者情绪的估计准确性并不会随着与患者接触时间的增加或康复工作年限的增长而提高。
