心理病检查清单的因素结构和有效性 - - 当用于自闭症精神病医院住院患者时的简短版本
Kate Maguire1, Magali Barnoux2, Josie Collins3
1School of Health and Social Care, University of Essex, Colchester, UK.
概括
心理病检查清单简体版 (PCL:SV) 是可靠的,有效的自闭症成年人在精神病治疗. 结果支持它的使用,即使是智力障碍,帮助治疗和风险评估.
科学领域:
- 法医精神病学 法医精神病学
- 临床心理学 临床心理学
- 神经发育障碍 神经发育障碍
背景情况:
- 心理病检查清单简体版 (PCL:SV) 是一种广泛使用的心理病评估工具.
- 它在住院精神病医疗机构内的自闭症成年人中的实用性需要进一步研究.
- 对于有效的治疗和风险管理来说,了解这群人群中的精神病变是至关重要的.
研究的目的:
- 评估PCL:SV在住院精神病治疗中的自闭症成年人的可靠性和构造有效性.
- 检查PCL:SV得分与临床结果之间的关联,包括治疗进展和停留时间.
- 探索PCL:SV在智力障碍或没有智力障碍的人群中的表现.
主要方法:
- 从282名自闭症成年人中收集的数据,每隔两个12个月的时间间隔.
- 使用欧米茄系数评估可靠性.
- 通过回归,接收器运行特征 (ROC) 曲线和与HCR-20和START的相关性分析来检查有效性.
主要成果:
- PCL:SV总数,因子1和因子2证明了高可靠性和构造有效性.
- 较高的PCL:SV得分与较差的治疗进展,更长的住院时间和先前的犯罪行为相关.
- 2因子得分与自闭症/智力障碍特征有关,而1因子与法医史和人格障碍有关.
结论:
- 初步证据支持PCL:SV在住院治疗的自闭症成年人中使用,包括那些有智力障碍的人.
- PCL:SV可以区分临床表现,并可能有助于治疗规划和风险评估.
- 需要进一步的研究,以充分阐明PCL:SV在专门的法医和精神病患者群体中的应用.
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