A Comprehensive Outcome Scale for Outpatient Psychiatry

描述（由申请人提供）： 拟议项目与 NIMH 相关 研究主题情绪和心理状态评估。目标是 开发一个多维、模块化、自我报告的调查问卷来评估 精神科治疗的过程和结果。多维 症状和心理社会功能评估 (MASP) 旨在 评估最常诊断的 DSM-IV Axis I 疾病的症状严重程度， 以及心理社会功能和生活质量。秤上的项目是 直接基于 DSM-IV 诊断标准，该量表的组织目的是 立即获得信息。该秤的模块化结构使得 本身可以选择性地进行小规模给药以实现持续的治疗结果 评估。第一阶段成功实现了以下目标：（1） 证明 MASP 项目的可理解性； (二)演示 在临床环境中使用 MASP 的可行性； (3) 设立 所有 MASP 子量表的内部一致性和重测信度，(4) 证明 MASP 的判别有效性和收敛有效性 子量表，(5) 证明 MASP 项目的信度和效度， (6)对量表因子结构的支持。最后的，也是最 重要的是，MASP 开发的步骤是证明 仪器对临床变化敏感，并建立MASP子量表 不同严重程度对应的分数。

DESCRIPTION (provided by applicant): The proposed project is related to NIMH research topic Assessment of Emotional and Psychological States. The goal is to develop a multidimensional, modular, self-report questionnaire that evaluates the course and outcome of psychiatric treatment. The Multidimensional Assessment of Symptoms and Psychosocial Functioning (MASP) is designed to assess symptom severity of the most commonly diagnosed DSM-IV Axis I disorders, as well as psychosocial functioning and quality of life. Items on the scale are based directly on DSM-IV diagnostic criteria, and the scale is organized for immediate availability of information. The scale's modular structure lends itself to selective subscale administration for ongoing treatment outcome assessment. Phase I successfully attained the following goals: (1) demonstration of the understandability of the MASP?s items; (2) demonstration of the feasibility of using the MASP in clinical settings; (3) establishment of the internal consistency and test-retest reliability of all MASP subscales, (4) demonstration of the discriminant and convergent validity of the MASP subscales, (5) demonstration of the reliability and validity of the MASP items, and (6) support for the factor structure of the scale. The final, and most important, steps in the development of the MASP is to demonstrate that the instrument is sensitive to clinical change, and to establish MASP subscale scores corresponding to different severity ranges.