Multicenter collaborative panic disorder severity scale
Multicenter collaborative panic disorder severity scale
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DOI：
10.1176/ajp.154.11.1571
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发表时间：
1997-11-01
影响因子：
17.7
通讯作者：
Papp, LA
中科院分区：
文献类型：
--
作者：
Shear, MK;Brown, TA;Papp, LA
目的：为了解决缺乏一种简单和标准化的工具来评估整体惊恐障碍严重程度的问题，作者开发了一种用于测量惊恐障碍严重程度的量表。方法：采用7项惊恐障碍严重程度量表，对186例DSM-III-R诊断为惊恐障碍(无或轻度广场恐怖症)的患者进行评估。此外，其中89名患者在短期治疗后按相同的量表进行了重新评估。24名患者的子组接受了两次独立的评估，以确定评价者之间的可靠性。同时测定了量表的内部一致性、收敛效度和判别效度以及对变化的敏感度。结果：惊恐障碍严重程度量表具有良好的评定者间信度、中等的内部一致性、良好的效度和对变化的敏感度。个别条目表现出暴徒收敛和区分度效度。分析表明，双因素模型对数据的拟合最好。结论：惊恐障碍严重程度量表是临床医生对确诊为惊恐障碍的患者进行严重程度评估的一种简单、有效的方法。然而，需要对更多不同的惊恐障碍患者群体进行进一步的研究，并采用更广泛的收敛和区分效度措施。
Objective: To address the lack of a simple and standardized instrument to assess overall panic disorder severity, the authors developed a scale for the measurement of panic disorder severity. Method: Ten independent evaluators used the seven-item Panic Disorder Severity Scale to assess 186 patients with principal DSM-III-R diagnoses of panic disorder (with no or mild agoraphobia) who were participating in the Multicenter Collaborative Treatment Study of Panic Disorder. In addition, 89 of these patients were reevaluated with the same scale after short-term treatment. A subset of 24 patients underwent two independent assessments to establish interrater reliability. Internal consistency, convergent and discriminant validity, and sensitivity to change were also determined. Results: The Panic Disorder Severity Scale tons associated with excellent interrater reliability, moderate internal consistency, and favorable levels of validity and sensitivity to change. Individual items showed goon convergent gent and discriminant validity. Analysis suggested a two-factor model fit the data best. Conclusions: The Panic Disorder Severity Scale is a simple, efficient way for clinicians to rate severity in patients with established diagnoses of panic disorder. However, further research with more diverse groups of panic disorder patients and with a broader range of convergent and discriminant validity measures is needed.