Fleming J M, Strong J, Ashton R
Department of Occupational Therapy, University of Queensland, Australia.
Brain Inj. 1996 Jan;10(1):1-15. doi: 10.1080/026990596124674.
Some method of assessing self-awareness of deficits in patients with traumatic brain injury (TBI) is required to increase our understanding of the phenomenon, and to then evaluate strategies for clinical intervention with patients who lack such self-awareness. Options for the assessment of self-awareness of deficits following TBI are reviewed. The most commonly used method is comparison of patients' self-ratings on questionnaires of functional abilities with ratings by relatives or staff on the same questionnaires. An additional method of assessment, an interviewer-rated semi-structured interview is proposed (the Self-Awareness of Deficits Interview), and some preliminary inter-rater reliability data are presented. However, quantitative methods of evaluating self-awareness have shortcomings, and qualitative research may be more appropriate in some circumstances. An approach which makes use of multiple measures to evaluate self-awareness of deficits is recommended.
需要某种评估创伤性脑损伤（TBI）患者缺陷自我意识的方法，以增进我们对这一现象的理解，进而评估针对缺乏这种自我意识的患者的临床干预策略。本文回顾了TBI后缺陷自我意识的评估方法。最常用的方法是将患者在功能能力问卷上的自我评分与亲属或工作人员在同一问卷上的评分进行比较。本文还提出了另一种评估方法，即由面试官评分的半结构化访谈（缺陷自我意识访谈），并给出了一些初步的评分者间信度数据。然而，评估自我意识的定量方法存在缺陷，在某些情况下，定性研究可能更合适。建议采用多种测量方法来评估缺陷自我意识。
