TAILIEUCHUNG - Báo cáo y học: " The clinical global impression scale and the influence of patient or staff perspective on outcome"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The clinical global impression scale and the influence of patient or staff perspective on outcome | Forkmann et al. BMC Psychiatry 2011 11 83 http 1471-244X 11 83 BMC Psychiatry RESEARCH ARTICLE Open Access The clinical global impression scale and the influence of patient or staff perspective on outcome 1 1 1 22 1 Thomas Forkmann Anne Scherer Maren Boecker Markus Pawelzik Ralf Jostes and Siegfried Gauggel Abstract Background Since its first publication the Clinical Global Impression Scale CGI has become one of the most widely used assessment instruments in psychiatry. Although some conflicting data has been presented studies investigating the CGI s validity have only rarely been conducted so far. It is unclear whether the improvement index CGI-I or a difference score of the severity index CGI-S dif is more valid in depicting clinical change. The current study examined the validity of these two measures and investigated whether therapists CGI ratings correspond to the view the patients themselves have on their condition. Methods Thirty-one inpatients of a German psychotherapeutic hospital suffering from a major depressive disorder age M SD women participated. Patients filled in the Beck Depression Inventory BDI . CGI-S and CGI-I were rated from three perspectives the treating therapist THER the team of therapists involved in the patient s treatment TEAM and the patient PAT . BDI and CGI-S were filled in at admission and discharge CGI-I at discharge only. Data was analysed using effect sizes Spearman s p and intra-class correlations ICC . Results Effect sizes between CGI-I and CGI-S dif ratings were large for all three perspectives with substantially higher change scores on CGI-I than on CGI-S dif. BDI dif correlated moderately with PAT ratings but did not correlate significantly with TEAM or THER ratings. Congruence between CGI-ratings from the three perspectives was low for CGI-S dif ICC .37 Confidence Interval CI .15 to .59 F30660 p .001 mean p and moderate for CGI-I ICC .65 CI .47 to .80 F30660 p .001 mean p .

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