Gunkel S, Priebe S
Department of Social Psychiatry, Freie Universität Berlin, Germany.
Compr Psychiatry. 1993 Sep-Oct;34(5):352-9. doi: 10.1016/0010-440x(93)90023-w.
In the rehabilitation of schizophrenic patients, changes and outcome are usually assessed by members of multiprofessional therapeutic teams and by the patients themselves. In this study, the correlations of different perspectives of change during rehabilitation were investigated. After admission to a partial hospitalization program (printing workshop), 12 schizophrenic patients were examined weekly; the test period lasted 12 weeks. Ratings concerning various aspects of behavior were independently made by the patients themselves, by a work therapist, and by a psychiatrist, and week-by-week changes were analyzed. Factor analysis and correlations among change scores suggest a moderate to high homogeneity of each psychiatrist's and work therapist's ratings. Correlations among the three perspectives of change show little substantial concordance. Consequences for the practical work of multiprofessional teams in the rehabilitation of schizophrenic patients are discussed.
在精神分裂症患者的康复过程中，变化和结果通常由多专业治疗团队的成员以及患者自身进行评估。在本研究中，调查了康复期间不同变化视角之间的相关性。12名精神分裂症患者在进入部分住院项目（印刷车间）后，每周接受检查；测试期持续12周。患者自身、工作治疗师和精神科医生分别独立对行为的各个方面进行评分，并分析每周的变化情况。因素分析和变化分数之间的相关性表明，每位精神科医生和工作治疗师的评分具有中等至高的同质性。三种变化视角之间的相关性显示出几乎没有实质性的一致性。文中还讨论了多专业团队在精神分裂症患者康复实际工作中的影响。
