Bernstein I H, Jaremko M E, Hinkley B S
Department of Psychology, University of Texas at Arlington.
Spine (Phila Pa 1976). 1994 Jan 1;19(1):42-8. doi: 10.1097/00007632-199401000-00008.
The SCL-90-R has become an increasingly popular measure of maladjustment. Its use beyond simply screening chronic low-back pain (CLBP) patients has been criticized, however, in part, because it appears to be a single-factor instrument. In fact, its nine major scales do share only one important common factor, i.e., general psychological discomfort. The scale most applicable to CLBP, however, somatization (SOM), has sufficient specific variance that it does not simply measure discomfort and predicts several other measures better than the SCL-90-Rs more reliable composite measure (GSI). Using SOM in conjunction with the GSI to separate psychological from physical discomfort is therefore both clinically and psychometrically appropriate. Other objections to the test are critically evaluated. The potential clinical relevance of the SCL-90-R is discussed.
症状自评量表90项修订版（SCL - 90 - R）已成为一种越来越受欢迎的适应不良测量工具。然而，它在单纯筛查慢性腰痛（CLBP）患者之外的使用受到了批评，部分原因是它似乎是一种单因素工具。事实上，它的九个主要量表仅共享一个重要的共同因素，即一般心理不适。然而，最适用于CLBP的量表，即躯体化（SOM），具有足够的特定方差，它不仅仅测量不适，并且比SCL - 90 - R更可靠的综合测量指标（GSI）能更好地预测其他几个指标。因此，将SOM与GSI结合使用以区分心理不适和身体不适在临床和心理测量学上都是合适的。对该测试的其他反对意见也进行了批判性评估。讨论了SCL - 90 - R潜在的临床相关性。
