Performance-based measures of functional skills: Usefulness in clinical treatment studies
Performance-based measures of functional skills: Usefulness in clinical treatment studies
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DOI：
10.1093/schbul/sbm040
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发表时间：
2007-09-01
影响因子：
6.6
通讯作者：
Bellack, Alan S.
中科院分区：
文献类型：
--
作者：
Harvey, Philip D.;Velligan, Dawn I.;Bellack, Alan S.
近年来，对功能性残疾的评估和治疗的关注显著增加。人们普遍认为，精神分裂症患者存在日常生活技能障碍，包括独立生活技能、社会功能、职业功能和自我照顾。最近也很清楚，评估这些技能可能会带来重大挑战。这些挑战包括选择有意义的短期结果指标，避免数据中的偏见和有效性降低。自我报告，直接观察，和举报人报告的日常残疾都有一定的优势，但似乎不如直接评估的技能与性能为基础的措施。本综述概述了与功能技能和日常功能评估相关的问题，并描述了这些方法的优点和缺点。我们的结论是，直接评估的功能能力比其他措施有很大的优势，实际上可能提供一个更直接和有效的估计功能障碍比性能更远的神经心理评估措施。
Recently, attention to the assessment and treatment of functional disability has increased notably. It is widely understood that impairments in everyday living skills, including independent living skills, social functions, vocational functioning, and self-care, are present in people with schizophrenia. It has also become clear recently that assessment of these skills can pose substantial challenges. These challenges include selection of meaningful short-term outcome measures and avoiding bias and reduced validity in the data. Self-report, direct observation, and informant reports of everyday disability all have certain advantages but appear to be inferior to direct assessment of skills with performance-based measures. This review outlines the issues associated with the assessment of functional skills and everyday functioning and provides a description of the strengths and weaknesses of these approaches. We conclude that direct assessment of functional capacity has substantial advantages over other measures and may actually provide a more direct and valid estimate of functional disability than performance on the more distal neuropsychological assessment measures.