Patients With Depression, Somatoform Disorders, and Eating Disorders on the Stages of Change: Validation of a Short Version of the URICA
Patients With Depression, Somatoform Disorders, and Eating Disorders on the Stages of Change: Validation of a Short Version of the URICA
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DOI：
10.1037/a0029563
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发表时间：
2012-12-01
期刊：
影响因子：
2.5
通讯作者：
Sammet, Isa
中科院分区：
文献类型：
--
作者：
Mander, Johannes;Wittorf, Andreas;Sammet, Isa
该研究旨在构建一个时间效率短版本的罗得岛大学变化评估（URICA），并探讨在治疗过程中抑郁症，躯体形式障碍和饮食障碍患者之间的变化阶段的差异。在住院治疗的早期、中期和晚期，对253例患者进行了URICA和各种结局测量。URICA的简短形式（URICA-S）的因素结构是优秀的，如（1）随机一半的样本的探索性因素分析，（2）对另一半的样本的验证性因素分析，（3）在6周的时间间隔内稳定的因素结构。URICA-S的结果因素被称为预先考虑，沉思，行动和维护。URICA-S因子的内部评分为优。支持标准相关效度，URICA-S预测相关的结果措施。方差分析表明，行动和维护因素的评级与抑郁症，躯体形式障碍和饮食障碍患者的结局差异相关。这些研究结果表明，一个障碍的具体行动和复发预防为导向的干预措施相结合，可能会优化不同的精神疾病住院患者的结果。
The study aimed at constructing a time-efficient short version of the University of Rhode Island Change Assessment (URICA), and at exploring differences in the stages of change between patients with depression, somatoform disorders, and eating disorders across the course of therapy. The URICA and diverse outcome measures were administered to 253 patients in early-, middle-, and late stages of inpatient therapy. The factor structure of the short form of the URICA (URICA-S) was excellent as shown by (1) an exploratory factor analysis on a randomized one-half of the sample, (2) a confirmatory factor analysis on the other half of the sample, and (3) a stable factor structure over a 6-week interval. The resulting factors of the URICA-S were called precontemplation, contemplation, action, and maintenance. The internal consistencies of the URICA-S factors were sufficient to excellent. Supporting the criterion-related validity, the URICA-S predicted relevant outcome measures. Analyses of variance showed that the ratings on the action and the maintenance factors were differentially associated with outcome in patients with depression, somatoform disorders, and eating disorders. These findings implicate that a disorder-specific combination of action and relapse-prevention oriented interventions might optimize outcome in inpatients with different psychiatric disorders.