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严重精神疾病患者生活质量评估的收敛效度

Convergent validation of quality of life assessments for persons with severe mental illnesses.

作者信息

Lehman A F, Postrado L T, Rachuba L T

机构信息

Department of Psychiatry, University of Maryland, Baltimore 21201.

出版信息

Qual Life Res. 1993 Oct;2(5):327-33. doi: 10.1007/BF00449427.

Abstract

The impact of interventions on the quality of life (QOL) experienced by persons with severe and persistent mental illnesses (SPMI) has attracted considerable political, clinical and research attention over the past decade, and continues to do so. This study examines the convergent validity of two commonly used QOL measures for this group of patients, the Lehman Quality of Life Interview and the Heinrichs-Carpenter Quality of Life Scale, computing the correlations between comparable constructs from the two measures administered at the same time and 2 months apart. Correlations were positive and significant although low to moderate in magnitude. Considering the considerable differences in the methods of assessment employed by the two measures, the lack of precise congruence between their constructs, and the 2-month time interval, these findings support their convergent validity. Various conceptual issues regarding the validity and interpretation of QOL assessments for persons with SPMI are discussed.

摘要

在过去十年中,干预措施对患有严重持续性精神疾病(SPMI)的患者的生活质量(QOL)产生的影响引起了相当多的政治、临床和研究关注,并且这种关注仍在持续。本研究考察了针对这类患者常用的两种生活质量测量工具的收敛效度,即《雷曼生活质量访谈》和《海因里希斯 - 卡彭特生活质量量表》,计算了同时及相隔两个月进行的这两种测量工具中可比结构之间的相关性。相关性为正且显著,尽管强度为低到中等。鉴于这两种测量工具所采用的评估方法存在相当大的差异、其结构缺乏精确的一致性以及两个月的时间间隔,这些发现支持了它们的收敛效度。文中还讨论了有关SPMI患者生活质量评估的效度和解释的各种概念性问题。

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