UCSD Performance-Based Skills Assessment: Development of a new measure of everyday functioning for severely mentally ill adults
UCSD Performance-Based Skills Assessment: Development of a new measure of everyday functioning for severely mentally ill adults
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DOI：
10.1093/oxfordjournals.schbul.a006870
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发表时间：
2001-01-01
影响因子：
6.6
通讯作者：
Jeste, DV
中科院分区：
文献类型：
--
作者：
Patterson, TL;Goldman, S;Jeste, DV
评估日常功能的工具利用了自我报告、代理报告、临床医生评级或直接观察表现。这些方法中的每一种都有其优点和缺点。在本文中，我们主张将基于绩效的功能能力测量纳入对严重精神病患者的研究中，并描述了一种新的测量方法，即加州大学圣地亚哥分校基于绩效的技能评估（UPSA）。我们对 50 名患有精神分裂症或分裂情感障碍的中老年门诊患者和 20 名正常对照受试者进行了 UPSA 治疗。参与者在五个职能领域（家务、沟通、财务、交通和规划娱乐活动）的表现在标准化的角色扮演情境中进行评估。 UPSA 的管理平均需要 30 分钟才能完成，Interrater 评级的可靠性非常出色。患者的表现比正常受试者明显受到更严重的损害。在患者中，UPSA 表现与阴性症状和认知障碍的严重程度显着相关，但与阳性或抑郁症状的严重程度无关。 UPSA 分数与其他基于绩效的衡量标准高度相关。我们相信 UPSA 对于评估患有严重精神疾病的成年人的日常功能很有用。
Instruments to assess everyday functioning have utilized self-report, proxy report, clinician ratings, or direct observation of performance. Each of these methods has strengths and weaknesses. In this article we argue for the inclusion of performance-based measures of functional capacity in studies of severely mentally ill persons and describe a new measure, the UCSD Performance-Based Skills Assessment (UPSA). We administered the UPSA to 50 middle-aged and older outpatients with schizophrenia or schizoaffective disorder, and 20 normal comparison subjects. Participants' performance in five domains of functioning (Household Chores; Communication; Finance; Transportation; and Planning Recreational Activities) was assessed in standardized role-play situations. Administration of the UPSA required an average of 30 minutes to complete, Interrater reliability of ratings was excellent. Patients' performance was significantly more impaired than that of normal subjects. Among patients, the UPSA performance correlated significantly with severity of negative symptoms and of cognitive impairment but not with that of positive or depressive symptoms. The UPSA scores correlated highly with those on another performance-based measure. We believe that UPSA would be useful for assessing everyday functioning in severely mentally ill adults.