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Patterns of individual change scales

N B Kaltreider, K N DeWitt, D S Weiss

Archives of General Psychiatry

|November 1, 1981

Summary

The Patterns of Individual Change Scales (PICS) offer a reliable method for assessing changes in psychotherapy patients. These scales effectively measure functioning across symptoms, social relations, and self-concept in bereaved individuals.

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Area of Science:

Psychology
Clinical Psychology
Psychotherapy Research

Background:

Translating psychotherapy research into clinical practice requires accurate measurement of personal functioning changes.
An inductive clinical approach was used to develop the Patterns of Individual Change Scales (PICS) battery, minimizing subjective bias.
The PICS battery is designed for bereaved populations, featuring 13 scales with a unitary focus and hierarchical functional levels.

Observation:

Nine clinical judges evaluated the PICS scales using videotaped interviews of 18 patients and 18 field subjects.
The assessment strategy aimed to decrease subjective bias in measuring complex modifications in personal functioning.
The PICS scales cover domains including symptoms, social relations, and self-concept.

Findings:

The PICS demonstrated a suitable range for assessing individuals from borderline to normal functioning levels.
The scales achieved acceptable levels of reliability in the evaluated population.
The PICS effectively discriminated among subjects in clinically meaningful ways, indicating its utility in practice.

Implications:

The PICS battery provides a valuable tool for the objective assessment of psychotherapy outcomes in clinical settings.
Further research will explore the bias, validity, and generalization of the PICS scales.
These findings support the use of PICS in translating psychotherapy research into tangible clinical practice improvements.

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