Are Clinicians' Assessments of Improvements in Children's Functioning "Global"?
Are Clinicians' Assessments of Improvements in Children's Functioning "Global"?
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DOI：
10.1080/15374416.2011.546043
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发表时间：
2011-01-01
影响因子：
4.2
通讯作者：
Beidel, Deborah C.
中科院分区：
文献类型：
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作者：
De Los Reyes, Andres;Alfano, Candice A.;Beidel, Deborah C.
在这项研究中，作者研究了临床医生对治疗改善的评分与父母和盲人实验室评分员报告的儿童社交功能治疗前后的差异之间的关系。参与者包括101名儿童(7-16岁；男性=11.67，SD=2.57；51名女孩，81%是高加索人)的临床样本，作为两点对照试验的一部分。总体而言，当父母报告盲评者没有报告的持续性(即治疗前到治疗后)社会功能缺陷时，临床医生评级反映出缺乏改善。然而，当盲评分者报告父母没有报告的持续的社会技能缺陷时，我们没有观察到与不一致报告的方向相反时对临床医生评分的相同影响。我们在一组参与者(n=81)中复制了这些观察结果，提供了父母和孩子发布前的社交焦虑症状报告。这些发现对于在对照试验中作为主要结果衡量标准的临床分级的解释具有一定的意义。
In this study, the authors examined the relations among clinician ratings of treatment improvement and discrepancies between parent and blinded laboratory rater reports of child social functioning administered before and after treatment for social anxiety disorder. Participants included a clinic sample of 101 children (7-16 years old; M=11.67, SD=2.57; 51 girls, 81% Caucasian) receiving treatment as part of a two-site controlled trial. Overall, clinician ratings reflected lack of improvement when parents reported persistent (i.e., pre- to posttreament) social functioning deficits not reported by blinded raters. However, when blinded raters reported persistent social skill deficits not reported by parents, we did not observe the same effect on clinician ratings as we did when the direction of discrepant reports was reversed. We replicated these observations in a subset of participants (n=81) providing parent and child pre-post reports of social anxiety symptoms. These findings have implications for the interpretations of clinical ratings as oprimary outcome measureso within controlled trials.