Kaltreider N B, DeWitt K N, Weiss D S, Horowitz M J
Arch Gen Psychiatry. 1981 Nov;38(11):1263-9. doi: 10.1001/archpsyc.1981.01780360079008.
Measurement of complex modifications in personal functioning is a necessary step to the relevant translation of psychotherapy research into clinical practice. Using an assessment strategy aimed toward decreasing subjective bias, we pursued an inductive clinical approach in constructing the Patterns of Individual Change Scales (PICS) battery. Designed for use with a bereaved population, each of the 13 scales has a unitary focus and hierarchy of functional levels across the domains of symptoms, social relations, and self-concept. Nine experienced clinical judges rated the scales after viewing videotaped evaluation interviews of 18 patients and 18 field subject. In general, the PICS had a suitable range for our borderline through normal population, reached acceptable levels of reliability, and could discriminate among subjects in clinically meaningful ways. Future analyses will consider issues of bias, validity, and generalization.
测量个人功能的复杂变化是将心理治疗研究有效转化为临床实践的必要步骤。我们采用旨在减少主观偏差的评估策略，以归纳性临床方法构建个体变化模式量表（PICS）组套。该组套专为丧亲人群设计，13个量表中的每一个都有单一重点以及症状、社会关系和自我概念领域的功能水平层次结构。九位经验丰富的临床评判员在观看了18名患者和18名现场受试者的录像评估访谈后对这些量表进行了评分。总体而言，PICS对于我们从临界状态到正常的人群具有合适的范围，达到了可接受的信度水平，并且能够以具有临床意义的方式区分受试者。未来的分析将考虑偏差、效度和普遍性等问题。
