Zimmerman M, Coryell W
Arch Gen Psychiatry. 1986 May;43(5):468-70. doi: 10.1001/archpsyc.1986.01800050074008.
Twenty-one depressed inpatients were followed up for six months after hospital admission. One rater assessed the patients at monthly intervals, and an independent rater assessed symptoms and treatment for the same period at the end of the six-month follow-up. Ratings of audiotapes of the monthly interviews by a third rater achieved excellent reliability. Fair to excellent agreement was also found between the monthly and six-month interviews. Reliability was lowest during the first month of the follow-up period. Unexpectedly, at the six-month interview more rather than fewer symptoms were reported for the most remote part of the follow-up interval. Our results suggest that at the six-month interview patients had reevaluated their functioning for the immediate postdischarge period.
21名住院抑郁症患者在入院后接受了为期6个月的随访。一名评估者每月对患者进行评估，另一名独立评估者在6个月随访结束时评估同期的症状和治疗情况。第三名评估者对每月访谈录音带的评分具有很高的可靠性。在每月访谈和6个月访谈之间也发现了中等至高度的一致性。随访期第一个月的可靠性最低。出乎意料的是，在6个月访谈中，随访间隔最远阶段报告的症状更多而非更少。我们的结果表明，在6个月访谈时，患者重新评估了出院后近期的功能状况。
