The convergence between self-reports and observer ratings of financial skills and direct assessment of financial capabilities in patients with schizophrenia: more detail is not always better.
The convergence between self-reports and observer ratings of financial skills and direct assessment of financial capabilities in patients with schizophrenia: more detail is not always better.
复制标题
DOI：
10.1016/j.schres.2013.02.018
复制
发表时间：
2013-06
影响因子：
4.5
通讯作者：
Patterson TL
中科院分区：
文献类型：
--
作者：
Harvey PD;Stone L;Lowenstein D;Czaja SJ;Heaton RK;Twamley EW;Patterson TL
尽管有多方面的证据表明，精神分裂症患者倾向于高估自己执行日常任务（如资金管理）的能力，但自我报告方法仍被广泛用于评估功能。在当今技术驱动的金融世界中，患者面临着越来越复杂的财务管理任务。为了应对这些挑战，需要有足够的财务技能。因此，这些能力的准确评估是至关重要的决定，病人的需要支持，如财务受托人。作为规模更大的VALERO研究的一部分，195名精神分裂症患者被要求通过独立生活技能调查（ILSS）自我报告他们的日常财务技能（五项常见的财务任务）。他们还接受了基于表现的神经认知和功能能力评估，重点是财务技能。此外，一个朋友，亲戚，或临床医生线人采访了ILSS和功能的最佳估计评级。财务技能和神经心理学测试的成绩与自我报告的财务活动无关。面试官和所有的线人判断的财务能力也最低限度地与功能技能测试的表现。对于临床医生来说，在不使用直接评估的情况下准确地评估离散的财务技能似乎是一个挑战。在决定是否需要监护或其他财务监督时，直接评估财务技能似乎是谨慎的。
Despite multiple lines of evidence suggesting that people with schizophrenia tend to overestimate their ability to perform everyday tasks such as money management, self-report methods are still widely used to assess functioning. In today’s technology driven financial world patients are faced with increasingly complex financial management tasks. To meet these challenges adequate financial skills are required. Thus, accurate assessments of these abilities are critical to decisions regarding a patient’s need for support such as a financial trustee. As part of the larger VALERO study, 195 patients with schizophrenia were asked to self-report their everyday financial skills (five common financial tasks) with the Independent Living Skills Survey (ILSS). They were also assessed with performance-based measures of neuro-cognition and functional capacity with a focus on financial skills. In addition, a friend, relative, or clinician informant was interviewed with the ILSS and a best estimate rating of functioning was generated. Scores on the performance-based measures of financial skills and neuropsychological tests were uncorrelated with self-reported financial activities. Interviewer and all informant judgments of financial abilities were also minimally correlated with performance on functional skills tests. Discrete financial skills appear to be challenging for clinicians to rate with accuracy without the use of direct assessments. Direct assessment of financial skills seems prudent when making determinations about the need for guardianship or other financial supervision.
登录
查看更多内容
影响因子：
4.5
作者：
Sabbag, Samir;Twamley, Elizabeth W.;Vella, Lea;Heaton, Robert K.;Patterson, Thomas L.;Harvey, Philip D.
通讯作者：
Harvey, Philip D.
DOI：
10.1176/appi.ajp.2009.09010106
发表时间：
2009-07
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Harvey PD;Helldin L;Bowie CR;Heaton RK;Olsson AK;Hjärthag F;Norlander T;Patterson TL
通讯作者：
Patterson TL
DOI：
10.1017/s1355617704102130
发表时间：
2004-05-01
影响因子：
2.6
作者：
Heaton, RK;Marcotte, TD;Grant, I
通讯作者：
Grant, I
影响因子：
5.3
作者：
Sheehan, DV;Lecrubier, Y;Dunbar, GC
通讯作者：
Dunbar, GC
精神分裂症患者日常功能的功能里程碑和临床医生评级：里程碑和评级特异性之间的重叠。
影响因子：
4.8
作者：
Harvey PD;Sabbag S;Prestia D;Durand D;Twamley EW;Patterson TL
通讯作者：
Patterson TL