Haggerty Greg, Forlenza Nicholas, Poland Charlotte, Ray Sagarika, Zodan Jennifer, Mehra Ashwin, Goyal Ajay, Baity Matthew R, Siefert Caleb J, Sobin Sean, Leite David, Sinclair Samuel J
*Department of Psychiatry and Behavioral Sciences, Von Tauber Institute for Global Psychiatry, Nassau University Medical Center, East Meadow, NY; †Department of Psychology, Alliant International University, Sacramento, CA; ‡Department of Psychology, University of Michigan-Dearborn; §Department of Psychology, Long Island University-CW Post Campus, Brookville, NY; ∥Department of Psychology, Liberty University, Lynchburg, VA; and ¶Department of Psychiatry, Psychological Evaluation and Research Laboratory, Massachusetts General Hospital, Harvard Medical School, Boston.
J Nerv Ment Dis. 2014 Nov;202(11):822-8. doi: 10.1097/NMD.0000000000000200.
The current study sought to evaluate the validity and reliability of a brief measure of overall functioning for adolescents. Clinicians were asked to complete the Overall Functioning Scale (OFS) for 72 adolescents consecutively admitted to the adolescent psychiatric inpatient service of a community safety net medical center. The results revealed that this new measure is related to the patients' length of stay, clinician-rated measures of social cognition and object relations, Global Assessment of Functioning (GAF) score at admission, as well as global rating of engagement in individual psychotherapy. The results also showed that the OFS was related to the patients' history of nonsuicidal self-harm as well as treatment outcome as assessed by measures of psychological health and well-being as well as symptoms. Hierarchical regressions reveal that the OFS shows incremental validity greater than the admission GAF score in predicting length of stay. The results also showed that the OFS demonstrates interrater reliability in the excellent range (intraclass correlation coefficient(1,2)) of 0.88. Clinical implications of the use of this tool and areas of future research are discussed.
本研究旨在评估一种针对青少年整体功能的简短测量工具的有效性和可靠性。研究要求临床医生为一家社区安全网医疗中心青少年精神科住院部连续收治的72名青少年填写整体功能量表（OFS）。结果显示，这一新测量工具与患者的住院时长、临床医生评定的社会认知和客体关系测量结果、入院时的功能总体评定量表（GAF）得分以及个体心理治疗参与度的总体评分相关。结果还表明，OFS与患者的非自杀性自伤史以及通过心理健康和幸福感测量及症状评估的治疗结果相关。分层回归分析显示，在预测住院时长方面，OFS的增量效度高于入院时的GAF得分。结果还表明，OFS在评分者间信度方面表现出色，组内相关系数（1,2）为0.88。本文讨论了使用该工具的临床意义以及未来研究的方向。
