ASSESSING IMPAIRMENT IN PATIENTS WITH PANIC DISORDER - THE SHEEHAN DISABILITY SCALE
ASSESSING IMPAIRMENT IN PATIENTS WITH PANIC DISORDER - THE SHEEHAN DISABILITY SCALE
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DOI：
10.1007/bf00788510
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发表时间：
1992-03-01
影响因子：
4.4
通讯作者：
KLERMAN, GL
中科院分区：
文献类型：
--
作者：
LEON, AC;SHEAR, MK;KLERMAN, GL
DSM-III-R 在精神疾病的定义中纳入了痛苦（症状）和残疾（损伤）。 在精神病学研究中，有多种工具可用于测量症状严重程度，但用于评估损伤的工具却有限。 本文对希恩残疾量表（Sheehan 1983）这一此类工具的心理测量特性进行了评估。 分析的数据来自两项针对恐慌症患者的研究，即跨国家合作恐慌研究 - 第一阶段和恐慌抑郁研究。 在本报告中，α系数和因子分析均表明量表的可靠性是可以接受的。 项目的因子结构及其组合变化的敏感性表现出令人满意的结构效度。 症状与损伤之间的显着关系证实了与标准相关的有效性。 这些分析仅限于恐慌症患者。 需要进一步的工作来评估该仪器评估其他疾病患者的能力。
The DSM-III-R incorporates both distress (symptoms) and disability (impairment) in the definition of a psychiatric disorder. In psychiatric research there is a wide array of instruments used to measure symptom severity, but a limited selection for the assessment of impairment. The psychometric properties of one such instrument, The Sheehan Disability Scale (Sheehan 1983), are evaluated in this paper. The data analyzed come from two studies of patients with panic disorder, the Cross National Collaborative Panic Study - Phase I and the Panic Depression Study. In this report both the alpha coefficients and factor analyses indicate that the reliability of the scale is acceptable. The factor structure of the items and the sensitivity to change of their composite demonstrate satisfactory construct validity. The criterion-related validity is substantiated by the significant relationship between symptomatology and impairment. These analyses were limited to patients with panic disorder. Further work is needed to evaluate the instrument in assessing patients with other disorders.