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Related Experiment Videos

A multiple perspective analysis of schizophrenics' symptoms and community functioning.

R M Turner, M McGovern, D Sandrock

    American Journal of Community Psychology
    |October 1, 1983
    PubMed
    Summary

    Agreement exists between clients, clinicians, and evaluators on symptoms and functioning. This finding, using multiple assessment tools, suggests shared understanding in mental health evaluations.

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    Area of Science:

    • Psychiatry
    • Psychology
    • Mental Health Services Research

    Background:

    • Assessing client symptoms and community functioning is crucial in mental health.
    • Traditionally, multiple perspectives (client, clinician, evaluator) are considered necessary for comprehensive assessment.
    • The reliability and agreement across these perspectives using standardized instruments require further investigation.

    Purpose of the Study:

    • To examine the level of agreement among schizophrenic clients, hospital clinicians, and independent evaluators.
    • To assess agreement regarding client symptoms and community functioning status.
    • To determine if this agreement is generalizable across different community assessment instruments.

    Main Methods:

    • Utilized the Symptom Checklist-90 (SCL-90).

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  • Employed the Denver Community Mental Health Questionnaire (DCMHQ).
  • Used the Personal Adjustment and Role Skills Inventory (PARS) for assessment.

    • Main Results:

    • Found significant agreement among the viewpoints of clients, clinicians, and evaluators.
    • Reported an average shared variance of .68 across the three perspectives and instruments.
    • Observed shared variance estimates between instruments ranging from .54 to .85.

    Conclusions:

    • The study challenges the necessity of multi-perspective assessment as the sole valid approach.
    • Findings suggest that the examined outcome instruments measure a common phenomenon or share significant method variance.
    • The generalizability of agreement across community assessment instruments is supported.