对于评估患有第一发精神病障碍的个体的COMPASS尺度
Delbert G Robinson1, Majnu John2, Alexander L Miller3
1The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Departments of Psychiatry and of Molecular Medicine, Hempstead, NY, USA; The Feinstein Institutes for Medical Research, Institute of Behavioral Science, Manhasset, NY, USA; The Zucker Hillside Hospital, Psychiatry Research, Northwell Health System, Glen Oaks, NY, USA.
Schizophrenia research
|October 22, 2024
概括
精神病的症状评估尺度在社区心理健康中未得到充分使用. 10项COMPASS尺度,验证用于临床医生在早期精神病的使用,提供了一个简短的,可靠的选择,以测量为基础的护理.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 精神病症状评估仪器在美国社区心理健康环境中未得到充分利用.
- 障碍包括漫长的尺度和依赖研究人员而不是临床医生的评级.
- 基于测量的护理在临床实践中提供了显著的优势.
研究的目的:
- 为了评估12项COMPASS症状评估尺度的心理测量特性.
- 为了检查早期精神病的COMPASS尺度的更短,临床医生评级的版本.
- 评估 COMPASS 对社区环境中大规模数据收集的适用性.
主要方法:
- 使用莫肯尺度分析来评估COMPASS尺度的单维性和单调性.
- 在使用RAISE-ETP研究 (n=3600) 的数据分析了12项COMPASS.
- 减少了10项和5项版本,并分析了ESPRITO学习健康系统的数据.
主要成果:
- 12项COMPASS及其衍生的10项和5项版本表明了单维性.
- 缩减版 (10项和5项) 与12项版本不同,没有显著的单调性违规.
- 临床医生更喜欢10项版本而不是5项版本;两者都在ESPRITO数据中得到了验证.
结论:
- 该COMPASS尺度为临床医生提供灵活的长度版本,用于在社区环境中评估第一次精神病发作.
- 10项 COMPASS 是一个经过验证的,临床医生评级的工具,适用于基于测量的护理.
- COMPASS促进大规模的数据收集,美国国家EPINET项目采用了10项版本.
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