Fals-Stewart W, Lucente S, Shanahan T, Brown L
Alpha Addictions Research, Ithaca, NY, USA.
J Subst Abuse. 1995;7(2):205-22. doi: 10.1016/0899-3289(95)90005-5.
Patients in a long-term residential substance abuse treatment program (N = 168) were asked to complete the Symptom Checklist-90-Revised (SCL-90-R), a brief inventory that measures psychological distress in nine symptom areas. Using the Symptom Checklist-90 Analogue (SCL-90 Analogue), which allows raters to assess patients along the same dimensions measured by the SCL-90-R, therapists also estimated the degree of psychological distress they observed in their patients. Significantly larger discrepancies were found between therapists' ratings of their patients and patients' ratings of themselves when patients were cognitively impaired (N = 57) than when patients did not display these decrements (N = 111). Furthermore, these patient-therapist assessment differences were negatively related to measures of patients' participation in treatment and length of stay in the program. Clinical and research implications of these findings are discussed.
参与长期住院药物滥用治疗项目的患者（N = 168）被要求完成症状自评量表-90修订版（SCL-90-R），这是一个简短的量表，用于测量九个症状领域的心理困扰程度。治疗师还使用症状自评量表-90模拟量表（SCL-90模拟量表），该量表允许评估者沿着SCL-90-R所测量的相同维度对患者进行评估，从而估计他们在患者身上观察到的心理困扰程度。与未出现认知功能减退的患者（N = 111）相比，存在认知功能损害的患者（N = 57）在治疗师对其的评分与患者自评之间存在明显更大的差异。此外，这些患者-治疗师评估差异与患者参与治疗的程度和在项目中的停留时间呈负相关。本文讨论了这些发现的临床和研究意义。
