Barrowclough C, Marshall M, Lockwood A, Quinn J, Sellwood W
School of Psychiatry and Behavioural Sciences, University of Manchester.
Psychol Med. 1998 May;28(3):531-42. doi: 10.1017/s003329179800662x.
The methodology for measuring the needs of patients with severe mental illness is now well established through the MRC Needs for Care Assessment Schedule and its modification in the form of the Cardinal Needs Assessment. This paper reports the rationale and construction of a relatives' version of the Cardinal Needs Schedule and looks at preliminary data reporting on reliability and validity.
Potential problem areas for relatives were identified from the literature. The criteria determining Cardinal Needs for each problem included objective threshold, carer concern, and carer cooperation. The reliability of the Schedule was assessed in a study whereby 27 relatives of patients with established schizophrenic illness completed two Schedules administered by two independent raters within a short time period.
The Schedule was acceptably reliable for most areas of need although there were some difficulties associated with the cooperation criteria. Concurrent measures of relatives and patients including EE, relative distress and patient psychopathology indicated that the Relatives' Cardinal Needs Schedule shows acceptable validity when used with a sample of 45 relatives.
The paper suggests that the Schedule may prove to be a useful tool for both clinicians and researchers interested in establishing and evaluating family interventions.
通过医学研究委员会的护理需求评估表及其以基本需求评估形式的修改，现已确立了测量重度精神疾病患者需求的方法。本文报告了基本需求表亲属版的理论依据和构建，并审视了关于信度和效度的初步数据报告。
从文献中确定亲属可能存在问题的领域。确定每个问题基本需求的标准包括客观阈值、照顾者关注程度和照顾者合作情况。在一项研究中评估了该量表的信度，27名确诊为精神分裂症患者的亲属在短时间内由两名独立评估者完成两份量表。
尽管在合作标准方面存在一些困难，但该量表在大多数需求领域的信度是可以接受的。亲属和患者的并行测量，包括情感表达、亲属痛苦和患者精神病理学，表明当与45名亲属的样本一起使用时，亲属基本需求表显示出可接受的效度。
本文表明，该量表可能被证明是对有兴趣建立和评估家庭干预措施的临床医生和研究人员有用的工具。
