Wang Jikun, Zhao Xudong
Department of Psychosomatic Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
J Nerv Ment Dis. 2013 May;201(5):384-8. doi: 10.1097/NMD.0b013e31828e115a.
This study explored subjectively perceived and objectively rated family dysfunction using the self-report Family Assessment Device (FAD) and observer-rated McMaster Clinical Rating Scale (MCRS), respectively. Perceived differences in family functioning ratings between 86 depressed patients and their partners and the degree of agreement between the subjective and objective rating scales were analyzed. There were significant correlations for perceived family functioning between the patients and their partners. There were moderate to significant correlations between patients' perceptions on five of the seven dimensions of the FAD (excluding problem solving and roles) and those dimensions of the MCRS. Findings showed moderate to significant correlations between six dimensions of the FAD and MCRS, excluding problem solving. Results on the FAD and MCRS were significantly correlated and considered equivalent. This suggests that these two instruments can be used individually or in combination to provide a comprehensive understanding of family functioning of couples with a depressed partner.
本研究分别使用自评的家庭评估量表（FAD）和观察者评定的麦克马斯特临床评定量表（MCRS），探讨主观感知和客观评定的家庭功能障碍。分析了86名抑郁症患者及其伴侣在家庭功能评定上的感知差异，以及主观和客观评定量表之间的一致程度。患者与其伴侣在感知到的家庭功能方面存在显著相关性。FAD七个维度中的五个维度（不包括问题解决和角色）上患者的感知与MCRS的相应维度之间存在中度到显著的相关性。结果表明，FAD和MCRS的六个维度之间存在中度到显著的相关性，不包括问题解决维度。FAD和MCRS的结果显著相关且被认为是等效的。这表明这两种工具可以单独使用或联合使用，以全面了解有抑郁症伴侣的夫妻的家庭功能。
