Beail N, Mitchell K, Vlissides N, Jackson T
Barnsley Adult Specialist Learning Disability Health Service, South West Yorkshire Partnership NHS Foundation Trust, The Keresforth Centre, Barnsley, UK; Clinical Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, UK.
J Intellect Disabil Res. 2015 Feb;59(2):170-5. doi: 10.1111/jir.12073. Epub 2013 Jul 24.
When assessing the mental health needs of people who have intellectual disabilities (ID) it is important to use measures that have good validity and reliability to ensure accurate case recognition and reliable and valid outcome data. Measures developed for this purpose tend to be self-report or by informant report. Multi-trait screening tools developed to identify psychological and psychiatric disorders in people who have ID tend to be informant based. Research examining the concordance of different tools has found this to be high but not for specific diagnoses. Multi-trait self-report measures are fewer and have not been compared with informant approaches. This study aims to examine the concordance between two multi-trait measures of mental health used with people who have ID. One administered to informants [the Mini-Psychiatric Assessment Schedule for Adults who have Developmental Disabilities (PASADD)] and one self-report [Brief Symptom Inventory (BSI)]
The measures were completed with 109 adults who have ID and with someone who knows them well.
Level of agreement across the four scales in common was good for three. The poorest convergence was for the obsessive compulsive disorder sub-scales. However, a high level of concordance was found between most sub-scales.
The BSI and the PASSAD seem to be good indicators of psychiatric problems and psychological distress; however, similar to other multi-trait measures they did not demonstrate appropriate specificity for particular disorders.
在评估智力残疾（ID）患者的心理健康需求时，使用具有良好效度和信度的测量方法很重要，以确保准确识别病例并获得可靠有效的结果数据。为此目的开发的测量方法往往是自我报告或由知情者报告。为识别ID患者的心理和精神障碍而开发的多特征筛查工具往往基于知情者报告。研究不同工具之间的一致性发现其一致性较高，但针对特定诊断并非如此。多特征自我报告测量方法较少，且尚未与知情者方法进行比较。本研究旨在检验两种用于ID患者的心理健康多特征测量方法之间的一致性。一种由知情者进行[针对发育障碍成年人的简易精神病评估量表（PASADD）]，另一种是自我报告[简明症状量表（BSI）]。
对109名ID成年人及其熟悉的人完成这些测量。
四个共同量表的一致程度在三个量表上较好。强迫症子量表的一致性最差。然而，大多数子量表之间发现了高度一致性。
BSI和PASSAD似乎是精神问题和心理困扰的良好指标；然而，与其他多特征测量方法类似，它们并未对特定障碍表现出适当的特异性。
