The Symptoms and Functioning Severity Scale (SFSS): Psychometric Evaluation and Discrepancies Among Youth, Caregiver, and Clinician Ratings Over Time
The Symptoms and Functioning Severity Scale (SFSS): Psychometric Evaluation and Discrepancies Among Youth, Caregiver, and Clinician Ratings Over Time
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DOI：
10.1007/s10488-012-0403-2
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发表时间：
2012-03-01
影响因子：
2.6
通讯作者：
Bickman, Leonard
中科院分区：
文献类型：
--
作者：
Athay, M. Michele;Riemer, Manuel;Bickman, Leonard
本文介绍了症状和功能严重程度量表（SFSS），其中包括三个平行的形式，系统地捕捉临床医生，青年和照顾者的观点，青年症状的频繁基础上的发展和心理测量学评价。虽然人们普遍认为，不同的青少年精神病理学评分者在他们的评估中存在显着差异，但这是第一篇专门研究社区心理健康环境中整个治疗过程中临床医生，青少年和护理人员评分之间差异的论文。结果表明，所有三个受访者的版本SFSS是一个心理测量的声音仪器在这一人群中使用。三个答复者在基线时的得分存在显著差异。纵向分析显示，随着时间的推移，年轻的临床医生和年轻的临床医生得分差异显着下降。青年性别的差异存在的青年-临床医生的差异。在整个治疗过程中，平均青少年-照顾者评分差异保持一致。对未来的研究和临床实践的影响进行了讨论。
This paper describes the development and psychometric evaluation of the symptoms and functioning severity scale (SFSS), which includes three parallel forms to systematically capture clinician, youth, and caregiver perspectives of youth symptoms on a frequent basis. While there is widespread consensus that different raters of youth psychopathology vary significantly in their assessment, this is the first paper that specifically investigated the discrepancies among clinician, youth, and caregiver ratings throughout the treatment process within a community mental health setting. Results for all three respondent versions indicated the SFSS is a psychometrically sound instrument for use in this population. Significant discrepancies in scores existed at baseline among the three respondents. Longitudinal analyses reveal the youth-clinician and caregiver-clinician score discrepancies decreased significantly over time. Differences by youth gender existed for caregiver-clinician discrepancies. The average youth-caregiver score discrepancy remained consistent throughout treatment. Implications for future research and clinical practice are discussed.