Pavan Gabriela, Godoy Julia Almeida, Monteiro Ricardo Tavares, Moreschi Hugo Karling, Nogueira Eduardo Lopes, Spanemberg Lucas
Departamento de Psiquiatria e Medicina Legal e Serviço de Psiquiatria, Hospital São Lucas (HSL), Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.
Trends Psychiatry Psychother. 2016 Oct-Dec;38(4):234-241. doi: 10.1590/2237-6089-2015-0077.
: Assessment of the results of treatment for mental disorders becomes more complete when the patient's perspective is incorporated. Here, we aimed to evaluate the psychometric properties and application of the Perceived Change Scale - Patient version (PCS-P) in a sample of inpatients with mental disorders.
: One hundred and ninety-one psychiatric inpatients answered the PCS-P and the Patients' Satisfaction with Mental Health Services Scale (SATIS) and were evaluated in terms of clinical and sociodemographic data. An exploratory factor analysis (EFA) was performed and internal consistency was calculated. The clinical impressions of the patient, family, and physician were correlated with the patient's perception of change.
: The EFA indicated a psychometrically suitable four-factor solution. The PCS-P exhibited a coherent relationship with SATIS and had a Cronbach's alpha value of 0.856. No correlations were found between the physician's clinical global impression of improvement and the patient's perception of change, although a moderate positive correlation was found between the patients' clinical global impression of improvement and the change perceived by the patient.
: The PCS-P exhibited adequate psychometric proprieties in a sample of inpatients with mental disorders. The patient's perception of change is an important dimension for evaluation of outcomes in the treatment of mental disorders and differs from the physician's clinical impression of improvement. Evaluation of positive and negative perceptions of the various dimensions of the patient's life enables more precise consideration of the patient's priorities and interests.
当纳入患者的观点时，对精神障碍治疗结果的评估会变得更加全面。在此，我们旨在评估感知变化量表-患者版（PCS-P）在一组精神障碍住院患者样本中的心理测量特性及应用。
191名精神科住院患者回答了PCS-P和心理健康服务患者满意度量表（SATIS），并根据临床和社会人口统计学数据进行了评估。进行了探索性因素分析（EFA）并计算了内部一致性。将患者、家属和医生的临床印象与患者的变化感知进行关联。
EFA表明存在一个心理测量学上合适的四因素解决方案。PCS-P与SATIS呈现出连贯的关系，其Cronbach's alpha值为0.856。虽然患者对改善的临床总体印象与患者感知的变化之间存在中度正相关，但医生对改善的临床总体印象与患者的变化感知之间未发现相关性。
PCS-P在精神障碍住院患者样本中表现出足够的心理测量学特性。患者对变化的感知是评估精神障碍治疗结果的一个重要维度，且与医生对改善的临床印象不同。评估患者生活各个维度的积极和消极感知能够更精确地考虑患者的优先事项和兴趣。
