The social functioning questionnaire: A rapid and robust measure of perceived functioning
The social functioning questionnaire: A rapid and robust measure of perceived functioning
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DOI：
10.1177/0020764005057391
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发表时间：
2005-09-01
影响因子：
7.5
通讯作者：
Johnson, T
中科院分区：
文献类型：
--
作者：
Tyrer, P;Nur, U;Johnson, T
背景资料：社会功能问卷（SFQ）是一个8个项目的自我报告量表（评分范围0-24），是从社会功能量表（SFS），一个半结构化的采访，主要用于非精神病患者，并具有良好的重测和评分者间的信度以及结构效度。SFQ是根据快速评估感知社会功能的需要而开发的。目的：提供来自研究的新老数据集的进一步细节，这些研究涉及超过4000名SFQ评估的受试者，说明其流行病学和临床关联。方法：新的数据分析来自一项全国流行病学研究，比较了SFQ的关键工作者和受试者版本，并重新分析了三项早期临床研究的数据，这些研究涉及精神病急症、全科精神病患者和复发性精神病患者。这些数据进行了进一步检查，以确定其范围，他们的关系，其他临床措施，并随着时间的推移在clinical trials.Results：在4164例受试者的人口平均得分为4.6，从所有研究的数据表明，得分为10分或以上表示社会功能差。在临床人群中，精神科急诊患者的社会功能最差（平均11.4），而全科门诊患者的社会功能最好（平均7.7）。8个项目的分数有一个正常的分布在精神病人群和一个偏态的正常人群，分数是相对稳定的短期（周）和长期（月），并在存在急性精神健康障碍和人格障碍，支持量表的有效性高。从英国随机选择的人口样本中，专门为少数民族加权的结果显示，不同群体的社会功能相似。
Background: The Social Functioning Questionnaire (SFQ), an eight-item self-report scale (score range 0-24), was developed from the Social Functioning Schedule (SFS), a semi-structured interview which has been used primarily with non-psychotic patients and has good test-retest and inter-rater reliability as well as construct validity. The SFQ was developed following the need for a quick assessment of perceived social function.Aims: To give further details of old and new data sets from studies involving over 4000 subjects assessed with the SFQ illustrating its epidemiological and clinical associations.Method: New data were analysed from a national epidemiological study, a comparison of key-worker and subject versions of the SFQ, and reanalysis of data from three earlier clinical studies, of psychiatric emergencies, general practice psychiatric patients and those with recurrent psychotic illnesses. These data were examined further to determine their range, their relationship to other clinical measures, and change over time in clinical trials.Results: The population mean score in 4164 subjects was 4.6 and the data from all studies suggested that a score of 10 or more indicated poor social functioning. Those presenting as psychiatric emergencies had the poorest social function (mean 11.4) and psychiatric patients from general practice the best function (mean 7.7) of the clinical populations. The eight item scores had a normal distribution in psychiatric populations and a skewed one in a normal population; scores were relatively stable over the short (weeks) and long-term (months), and were high in the presence of acute mental health disturbance and personality disorder, giving support to the validity of the scale. The results from a UK sample of a randomly selected population specifically weighted for ethnic minorities showed similar social function across groups.