Iwata B A, Pace G M, Kissel R C, Nau P A, Farber J M
Psychology Department, University of Florida, Gainesville 32611.
J Appl Behav Anal. 1990 Spring;23(1):99-110. doi: 10.1901/jaba.1990.23-99.
A method is described for classifying and quantifying surface tissue damage caused by self-injurious behavior. The Self-Injury Trauma Scale permits differentiation of self-injurious behavior according to topography, location of the injury on the body, type of injury, number of injuries, and estimate of severity. Fifty pairs of independently scored records were subjected to interrater reliability analyses, and the following mean (median) percentage agreement scores were obtained: overall agreement, 97% (98%); location of injury, 99% (100%); type of injury, 96% (100%); number of injuries, 89% (100%); and severity of injury, 94% (100%). Percentage agreement also was calculated for three summary scores: Number Index, 90%; Severity Index, 92%; and Estimate of Current Risk, 100%. Potential applications and limitations of the scale are discussed.
本文描述了一种对由自伤行为导致的体表组织损伤进行分类和量化的方法。自伤创伤量表允许根据损伤的形态、身体上损伤的位置、损伤类型、损伤数量以及严重程度估计来区分自伤行为。对五十对独立评分的记录进行了评分者间信度分析,得到了以下平均(中位数)百分比一致率得分:总体一致性,97%(98%);损伤位置,99%(100%);损伤类型,96%(100%);损伤数量,89%(100%);以及损伤严重程度,94%(100%)。还计算了三个汇总得分的百分比一致率:数量指数,90%;严重程度指数,92%;以及当前风险估计,100%。讨论了该量表的潜在应用和局限性。