Korbon G A, DeGood D E, Schroeder M E, Schwartz D P, Shutty M S
Department of Anesthesiology, University of Virginia Medical Center, Charlottesville.
Spine (Phila Pa 1976). 1987 Oct;12(8):787-91. doi: 10.1097/00007632-198710000-00014.
The development of a new scale, the Somatic Amplification Rating Scale (SARS), for the quantification of exaggerated (nonorganic) motor, sensory, and pain responses occurring during a standardized physical examination is described. This 13-item scale, partially based on a measure of nonorganic physical signs developed by Waddell et al, was administered to 127 low-back pain patients at an outpatient pain center. It was determined that the 13-item scale could be shortened to seven items with improved ease of administration and little loss of reliability and validity. Interrater reliability of the finalized seven-item scale was excellent (R = 0.93). Finally, it was determined that patients with high SARS scores were significantly more likely to be receiving workers' compensation benefits and to endorse physical symptoms with greater intensity on psychologic testing (Symptom Checklist 90).
本文描述了一种新的量表——躯体放大评定量表（SARS）的开发，该量表用于量化在标准化体格检查中出现的夸张（非器质性）运动、感觉和疼痛反应。这个包含13个条目的量表部分基于Waddell等人开发的非器质性体征测量方法，在一家门诊疼痛中心对127名腰痛患者进行了施测。结果发现，13个条目的量表可以缩短为7个条目，施测更加简便，且可靠性和有效性几乎没有损失。最终确定的7个条目量表的评分者间信度极佳（R = 0.93）。最后，研究发现SARS评分高的患者更有可能获得工伤赔偿福利，并且在心理测试（症状自评量表90）中更强烈地认可身体症状。
