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951.
James H. Johnson Steven K. Reader 《Journal of clinical psychology in medical settings》2002,9(1):51-62
This paper describes the initial development of the Disruptive Behavior Stress Inventory (DBSI). This 40-item measure, which provides indices of the number of stressors experienced during the past 6 months and the rated stressfulness of these events, is designed to assess behavior-related family stress experienced by families of children with attention-deficit/hyperactivity disorder (ADHD). Findings provide strong support for the internal consistency of the DBSI and suggest adequate test-retest reliability. Support for the validity of the measure is suggested by findings that DBSI stress indices differentiate between parents of children with ADHD and those with no history of this disorder. Additional support is provided by findings that scores on the DBSI also differentiate between parents of children with ADHD, combined type and parents of children with ADHD, inattentive type. It is suggested that this measure may provide useful clinical information regarding stress levels in families of children with ADHD and that it may be of potential value as an ADHD treatment outcome measure. 相似文献
952.
Miller and Rohling (2001) proposed a 24-step algorithm, the Rohling Interpretive Method (RIM), for quantitative interpretation of results from flexible neuropsychological test batteries. We believe that the RIM as presented in that paper has several conceptual problems, including (a) a failure to distinguish "statistically significant" from pathological differences, (b) an assumption that declines in specific abilities can be inferred when a particular test score deviates from an estimate of general premorbid ability, and (c) confusion between the standard deviation associated with individual test scores versus that of a composite of those scores. As an alternative, we suggest the value of developing and using co-normed comprehensive neuropsychological test batteries from which test users might select subsets of tests. 相似文献
953.
Huston P 《Science and engineering ethics》2004,10(1):103-117
Part of the National Placebo Initiative in Canada included public consultations, based on the belief that the views of the
public should inform Canadian policy development on what constitutes appropriate placebo use. Public consultations took place
nationally in 2003. A deliberative dialogue approach was used, or a structured discussion format designed to facilitate the
consideration of complex issues and build consensus. The placebo debate was characterized as having 3 distinct approaches
and each were explored. The first approach “Maximize Patient Protection” identified the need for experts to determine appropriate
placebo use and that placebos should only be allowed under very restricted conditions. The second approach “Maximize Medical
Knowledge” identified that placebos give essential information about the safety and efficacy of new drugs, and are appropriate
when the rights, safety and well-being of research participants are ensured. The third approach “Maximize Patient Autonomy”
identified that the current system of regulating placebo use is paternalistic and that patients should be able to define what
is in their best interests and have more leeway to determine for themselves if they wish to participate in a placebo-controlled
trial. Advantages and disadvantages of each approach were considered and feedback on what constitutes appropriate placebo
use was sought. The major findings were that: PCTs were considered a valuable and acceptable part of advancing medical knowledge;
research using placebos must be valid and justifiable; a patient-centred approach needs to be fostered; patient autonomy (choice)
should be a first consideration and take clear precedence in trials of low to medium risk; patient protection (or health)
may need to “trump” patient autonomy at higher levels of risk and/or patient vulnerability; placebos are not a violation of
the duty of care as duty of care is best met by identifying a choice for patients, whenever a choice is available. These consultations
clearly were not designed to produce conclusive evidence, but rather to provide some useful insights into what the public
may think about placebo use; additional studies are indicated.
Funding for the public consultations was provided by Health Canada and the Canadian Institutes of Health Research.
An earlier version of this paper was presented at an international conference, “Placebo: Its Action and Place in Health Research
Today,” held in Warsaw, Poland on 12–13 April, 2003. 相似文献
954.
Toward a dimensional and psychometrically-informed approach to conceptualizing psychopathology 总被引:2,自引:0,他引:2
Most modern research on psychopathology is framed by the categorical model of mental disorders embodied in the Diagnostic and statistical manual of mental disorders, 4th edition (DSM-IV; American Psychiatric Association, 1994). Nevertheless, the categorical model of the DSM is incompatible with robust empirical observations about psychopathological variation, such as the tendency for multiple, putatively distinct mental disorders to occur in the same persons. The goal of this invited essay is to outline a potential alternative to the DSM's categorical approach: a dimensional and psychometrically-informed approach to conceptualizing and studying psychopathology. We discuss the advantages of the dimensional approach, some modern statistical technologies that can be recruited in the service of the dimensional approach, and ways of integrating the dimensional approach with a behavioral approach to psychopathology assessment and research. 相似文献
955.
956.
This paper presents a new measure of syntactic comprehension abilities in brain-damaged populations known as the SOAP (Subject-relative, Object-relative, Active, and Passive), along with data supporting its sensitivity and specificity. This assessment tool examines comprehension of sentences (matched for length) of four syntactic construction types: active, passive, subject-relative, and object-relative. Data are presented that indicate that the SOAP provides a sensitive and reliable differentiation of aphasia subgroups. The SOAP's sensitivity in differentiating broad behavioral (anterior/posterior-lesioned) groups is compared to the auditory comprehension component of the Boston Diagnostic Aphasia Examination (BDAE), supporting its sensitivity differentiating between anterior- and posterior-lesioned groups. It is argued that this tool can be an important accompaniment to standard aphasia assessment batteries in more sensitively defining syntactic comprehension deficits. 相似文献
957.
Let's Ask the Homeless People Themselves: A Needs Assessment Based on a Probability Sample of Adults
A probability sample of 301 homeless adults from Buffalo, NY, was followed over 6 months to document the utilization of a variety of community services, examine services desired, and identify factors associated with service utilization, preference, and satisfaction. The following needs were all rated as at least equally important as the need for affordable housing: safety, education, transportation, medical/dental treatment, and job training/placement (most of these needs were also rated as difficult to obtain). Needs for formal mental health and substance abuse services were rated as relatively unimportant and easy to obtain, and for those who actually used them, respondents were often dissatisfied with them. Of 16 predictor variables examined in multivariate analyses, several showed consistent relationships with subsequent service use, preference, and satisfaction. Younger adults, persons of color, those with dependent children, and persons having fewer social supports reported less service utilization, less satisfaction with services received, different perceived needs for particular services, and/or greater difficulty obtaining services. 相似文献
958.
Health technology assessment (HTA) consists of thesystematic study of the consequences of theintroduction or continued use of the technology in aparticular context, with the explicit objective toarrive at a judgment of the value or merit of thetechnology. Ideally, it is aimed at assessing allaspects of a given technology or group oftechnologies, including non-technical, e.g.socio-ethical, aspects. However, methods for assessingsocio-ethical implications of health technology arerelatively undeveloped and few mechanisms exist totake action based on the results of such evaluations.Still, the examples of cochlear inplants (CI) and other cases illustratethat HTA is not a matter of merely collecting thefacts about a technology. The facts must beplausible and relevant from a particular framework,which is not always shared by different groups. It ishere that socio-ethical aspects are encountered. Ifhealth technology assessment aims to enhance theaccountability of the decision making processregarding funding and use of health technology, it isa major challenge to assessors of health technologiesto deal adequately with existing value pluralism. Inthis respect interactive evaluation may have somethingto offer. 相似文献
959.
The aim of this study was to investigate whether clusters of common questions asked in clinical parenting interviews with parents of troubled adolescents could contribute to the empirical assessment of parenting dimensions. Questions were derived from clinical experience and theory, and were presented in an interview with 101 parents of adolescents referred to child psychiatric outpatient clinics for emotional and behavioral disorders. Fourteen questions were formed within the parenting domain of warmth, 12 questions from the domain of control, five questions were about autonomy granting and six questions were about commitment. Scores clustered into nine subgroups: Contact, Empathy, Appreciation, Setting Limits, Consistency, Monitoring, Parenting Priority, Involvement and Autonomy Granting. Raters also made an overall judgment of the presence of parental negative attributions during the interview. The inter-rater reliability, internal consistency, and convergent validity of the subgroups were satisfactory, and the bias of socially desirable responding was limited. Directions for further research are suggested. 相似文献
960.
Danielson CK Youngstrom EA Findling RL Calabrese JR 《Journal of abnormal child psychology》2003,31(1):29-39
The present study investigated the ability of the General Behavior Inventory (GBI) to discriminate between diagnostic groups using youth self-report. One hundred and ninety-seven youths ages 10–17 years presenting at a midwestern urban outpatient clinic specializing in mood disorders completed the GBI as part of the intake process. Diagnoses were determined by a structured clinical interview (K-SADS) administered by either a child and adolescent psychiatrist or a research assistant trained to a high level of interrater reliability ( > .85). Games–Howell post hoc tests showed that the diagnostic groups significantly differed on the GBI's 2 subscales, Depression and Hypomanic–Biphasic. Logistic regression demonstrated that the scales discriminated between bipolar and disruptive behavior disorders, unipolar and bipolar depression, and mood and disruptive behavior disorders or no diagnosis. Receiver Operating Characteristic (ROC) curves further indicated the good diagnostic efficiency of the scales. Results indicate that the GBI's subscales might aid in making traditionally difficult differential diagnoses, such as between bipolar disorder and Attention Deficit Hyperactivity Disorder (ADHD) and between unipolar and bipolar depression. 相似文献