A clinically useful social anxiety disorder outcome scale.
A clinically useful social anxiety disorder outcome scale.
复制标题
DOI：
10.1016/j.comppsych.2013.02.006
复制
发表时间：
2013-10
影响因子：
7.3
通讯作者：
Zimmerman M
中科院分区：
文献类型：
--
作者：
Dalrymple K;Martinez J;Tepe E;Young D;Chelminski I;Morgan T;Zimmerman M
人们越来越重视基于测量的护理，以提高治疗质量。尽管大部分关注点都集中在抑郁症上，但基于测量的护理可能特别适用于社交焦虑症（SAD），因为它的患病率高、与其他疾病的高合并症以及与严重功能障碍的相关性。目前存在许多 SAD 自我报告量表，但这些量表在长度和/或可及性方面存在局限性，这可能会成为其在常规临床实践中监测结果的障碍。因此，本研究的目的是开发和验证临床有用的社交焦虑症结果量表（CUSADOS），这是一种自我报告的 SAD 测量方法。 CUSADOS 的设计可靠、有效、对变化敏感、简短、易于评分且易于访问，以促进其在常规临床环境中的使用。 CUSADOS 的心理测量特性在 2,415 名正在接受治疗并完成半结构化诊断访谈的精神科门诊患者中进行了检查。 CUSADOS 表现出出色的内部一致性、较高的项目总相关性和重测可靠性。在 381 名患者的子样本中，CUSADOS 具有良好的区分效度和收敛效度，因为与其他精神疾病相比，它与 SAD 的其他测量指标的相关性更高。此外，与没有诊断出 SAD 的门诊患者相比，当前诊断为 SAD 的门诊患者的得分更高。在 15 名接受共病 SAD 和抑郁症治疗的门诊患者样本中，还获得了对 CUSADOS 变化敏感性的初步支持。这项针对大量精神病学样本的验证研究结果表明，CUSADOS 具有良好的心理测量特性。其简洁性和易于评分也表明将其纳入常规临床实践是可行的。
Increasingly, emphasis is being placed on measurement-based care to improve the quality of treatment. Although much of the focus has been on depression, measurement-based care may be particularly applicable to social anxiety disorder (SAD) given its high prevalence, high comorbidity with other disorders, and association with significant functional impairment. Many self-report scales for SAD currently exist, but these scales possess limitations related to length and/or accessibility that may serve as barriers to their use in monitoring outcome in routine clinical practice. Therefore, the aim of the current study was to develop and validate the Clinically Useful Social Anxiety Disorder Outcome Scale (CUSADOS), a self-report measure of SAD. The CUSADOS was designed to be reliable, valid, sensitive to change, brief, easy to score, and easily accessible, to facilitate its use in routine clinical settings. The psychometric properties of the CUSADOS were examined in 2,415 psychiatric outpatients who were presenting for treatment and had completed a semi-structured diagnostic interview. The CUSADOS demonstrated excellent internal consistency, and high item-total correlations and test-retest reliability. Within a sub-sample of 381 patients, the CUSADOS possessed good discriminant and convergent validity as it was more highly correlated with other measures of SAD than with other psychiatric disorders. Furthermore, scores were higher in outpatients with a current diagnosis of SAD compared to those without a SAD diagnosis. Preliminary support also was obtained for the sensitivity to change of the CUSADOS in a sample of 15 outpatients receiving treatment for comorbid SAD and depression. Results from this validation study in a large psychiatric sample show that the CUSADOS possesses good psychometric properties. Its brevity and ease of scoring also suggest that it is feasible to incorporate into routine clinical practice.
登录
查看更多内容
影响因子：
10.3
作者：
Dalrymple, Kristy L.;Zimmerman, Mark
通讯作者：
Zimmerman, Mark
影响因子：
--
作者：
Kessler, RC;Berglund, P;Walters, EE
通讯作者：
Walters, EE
影响因子：
--
作者：
DeRubeis, RJ;Hollon, SD;Gallop, R
通讯作者：
Gallop, R
影响因子：
6.6
作者：
Dalrymple, Kristy L.;Zimmerman, Mark
通讯作者：
Zimmerman, Mark
影响因子：
17.7
作者：
Katzelnick, DJ;Kobak, KA;Helstad, CP
通讯作者：
Helstad, CP