Zacker J
Rockland County Department of Mental Health.
J Pers Assess. 1989 Spring;53(1):173-9. doi: 10.1207/s15327752jpa5301_18.
Evidence is needed in the field of psychological assessment of psychiatric patients to verify if test findings actually influence the clinical processes of diagnosis, treatment, case disposition, and outcome. Those who perform many assessments can conduct limited experiments to measure these effects. One such study is presented. It is a quasi-experiment in which the value of the psychologist's diagnostic recommendations to treating psychiatrists was measured. Diagnoses at admission, at subsequent psychological evaluation, and at discharge were compared among 70 patients referred to a clinical diplomate from the American Board of Professional Psychology (ABPP) for assessment. The psychiatrists who had referred the patient agreed with the psychologist's diagnosis in 94% of the cases. Agreement was high even when the psychologist had disagreed with the admitting psychiatrists' diagnoses. Despite imperfections in research design, the study demonstrates that solo practitioners can evaluate the impact of assessment. Other possibilities for study are presented, as are reasons for the significant findings of this study.
在精神病患者的心理评估领域，需要证据来验证测试结果是否真的会影响诊断、治疗、病例处置及预后等临床过程。进行大量评估的人员可以开展有限的实验来衡量这些影响。本文呈现了这样一项研究。这是一项准实验，其中对心理学家给主治精神科医生的诊断建议的价值进行了衡量。在转介给美国专业心理学委员会（ABPP）临床文凭持有者进行评估的70名患者中，比较了入院时、随后心理评估时及出院时的诊断情况。转介患者的精神科医生在94%的病例中同意心理学家的诊断。即使心理学家不同意入院精神科医生的诊断，一致性程度也很高。尽管研究设计存在缺陷，但该研究表明个体从业者可以评估评估的影响。文中还介绍了其他研究可能性，以及该研究有显著发现的原因。
