Guthrie Else, Harrison Mathew, Brown Richard, Sandhu Rajdeep, Trigwell Peter, Abraham Seri, Nawaz Shazada, Kelsall Peter, Thomasson Rachel
University of Leeds,UK.
Leeds and York Partnership National Health Service Foundation Trust,UK.
BJPsych Bull. 2018 Jun;42(3):109-114. doi: 10.1192/bjb.2017.28. Epub 2018 Mar 4.
Aims and methodTo develop and pilot a clinician-rated outcome scale to evaluate symptomatic outcomes in liaison psychiatry services. Three hundred and sixty patient contacts with 207 separate individuals were rated using six subscales (mood, psychosis, cognition, substance misuse, mind-body problems and behavioural disturbance) plus two additional items (side-effects of medication and capacity to consent for medical treatment). Each item was rated on a five-point scale from 0 to 5 (nil, mild, moderate, severe and very severe).
The liaison outcome measure was acceptable and easy to use. All subscales showed acceptable interrater reliability, with the exception of the mind-body subscale. Overall, the measure appears to show stability and sensitivity to change.Clinical implicationsThe measure provides a useful and robust way to determine symptomatic change in a liaison mental health setting, although the mind-body subscale requires modification.Declaration of interestNone.
目的与方法
开发并试行一种由临床医生评定的结果量表，以评估联络精神科服务中的症状性结果。使用六个分量表（情绪、精神病性症状、认知、物质滥用、身心问题和行为障碍）以及另外两个项目（药物副作用和医疗治疗同意能力）对与207名不同个体的360次患者接触进行评定。每个项目按0至5分的五分制进行评定（无、轻度、中度、重度和极重度）。
联络结果测量方法可接受且易于使用。除身心分量表外，所有分量表均显示出可接受的评定者间信度。总体而言，该测量方法似乎显示出稳定性和对变化的敏感性。
临床意义
该测量方法为确定联络心理健康环境中的症状性变化提供了一种有用且可靠的方法，尽管身心分量表需要修改。
利益声明
无。
