Sheehan D V, Harnett-Sheehan K, Raj B A
University of South Florida, Institute for Research in Psychiatry, Tampa 33613, USA.
Int Clin Psychopharmacol. 1996 Jun;11 Suppl 3:89-95. doi: 10.1097/00004850-199606003-00015.
The frequent occurrence of desynchrony between psychiatric symptoms and disability makes it necessary to measure disability/ functional impairment in addition to psychiatric symptoms when tracking treatment outcome. Existing disability measures in psychiatry are comprehensive but lengthy. There is a need for short, simple, cost-effective, sensitive measures of disability and functional impairment in psychiatric disorders. We developed a discretized analog disability scale (DISS) which uses visual-spatial, numeric and verbal descriptive anchors to assess disability across three domains: work, social life and family life. The DISS has proved to be very sensitive to change in drug treatment studies in psychiatry. The usefulness of the DISS in assessing disability in terms of work, social and family relationships is discussed.
精神症状与残疾之间频繁出现不同步的情况，这使得在追踪治疗结果时，除了测量精神症状外，还必须测量残疾/功能损害。精神病学中现有的残疾测量方法很全面但冗长。需要有简短、简单、经济高效且敏感的精神障碍残疾和功能损害测量方法。我们开发了一种离散模拟残疾量表（DISS），它使用视觉空间、数字和语言描述性锚点来评估工作、社会生活和家庭生活三个领域的残疾情况。在精神病学药物治疗研究中，DISS已被证明对变化非常敏感。本文讨论了DISS在评估工作、社会和家庭关系方面的残疾情况时的实用性。
