Goldsmith R J, Green B L
Department of Psychiatry, College of Medicine, University of Cincinnati, OH 45267-0559.
J Nerv Ment Dis. 1988 Oct;176(10):614-20. doi: 10.1097/00005053-198810000-00006.
Denial of alcoholism is a serious obstacle to the successful treatment of an alcoholic. If clinicians can conceptualize and focus on this denial, they may be able to make more effective interventions with alcoholics. Denial in alcoholism, as in other illnesses such as cancer and heart disease, may encompass denial of the entire illness or only denial of some aspect, such as the loss of control over alcohol consumption. The Denial Rating Scale (DRS) has been developed to aid in the identification of denial of alcoholism, as well as to help specify which aspect of alcoholism is being denied. The present report describes the DRS and presents early reliability and validity data in support of its use. Preliminary interrater reliability is adequate, and construct and predictive validity appear promising. Several case studies were included to demonstrate the use of the scale.
否认酗酒是成功治疗酗酒者的一个严重障碍。如果临床医生能够理解并关注这种否认，他们或许能够对酗酒者进行更有效的干预。酗酒中的否认，如同癌症和心脏病等其他疾病一样，可能包括对整个疾病的否认，或者仅仅是否认某些方面，比如对饮酒失去控制。否认评定量表（DRS）已被开发出来，以帮助识别对酗酒的否认，并有助于明确被否认的酗酒的具体方面。本报告描述了DRS，并提供了早期的信度和效度数据以支持其使用。初步的评分者间信度是足够的，结构效度和预测效度似乎也很有前景。还纳入了几个案例研究来展示该量表的使用。
