Klewicki L L, Bjorck J P, Leucht C A, Goodman M
Graduate School of Psychology, Fuller Theological Seminary, Pasadena, California 91101, USA.
Psychol Rep. 1998 Oct;83(2):547-70. doi: 10.2466/pr0.1998.83.2.547.
Growth in managed care has magnified the needs for assessment of treatment efficacies and standardized communication regarding treatment needs. Addressing both needs requires a common terminology describing the scope of treatable mental health impairments. The Diagnostic and Statistical Manual of Mental Disorders-IV provides a common categorical language for describing clinical disorders, but its categories are not discrete and do little to facilitate communication regarding specific treatment needs. Goodman, Brown, and Deitz developed a Patient Impairment Lexicon intended to address these limitations. The current vignette study provided initial psychometric assessment of this nomenclature, specifically examining interrater reliability, temporal stability, and content validity. Findings are discussed with respect to both applications in managed care and psychometric research.
管理式医疗的发展放大了评估治疗效果以及就治疗需求进行标准化沟通的需求。满足这两个需求需要一种描述可治疗心理健康障碍范围的通用术语。《精神障碍诊断与统计手册第四版》提供了一种描述临床疾病的通用分类语言，但其类别并非离散的，对于促进有关特定治疗需求的沟通作用不大。古德曼、布朗和戴茨开发了一种患者损伤词汇表，旨在解决这些局限性。当前的案例研究对该术语进行了初步的心理测量评估，特别考察了评分者间信度、时间稳定性和内容效度。结合管理式医疗中的应用和心理测量研究对研究结果进行了讨论。
