Is there a correlation between physicians' clinical impressions and patients' perceptions of change? Use of the Perceived Change Scale with inpatients with mental disorders
Abstract Introduction: Assessment of the results of treatment for mental disorders becomes more complete when the patient's perspective is incorporated. Here, we aimed to evaluate the psychometric properties and application of the Perceived Change Scale - Patient version (PCS-P) in a sample of inpatients with mental disorders. Methods: One hundred and ninety-one psychiatric inpatients answered the PCS-P and the Patients' Satisfaction with Mental Health Services Scale (SATIS) and were evaluated in terms of clinical and sociodemographic data. An exploratory factor analysis (EFA) was performed and internal consistency was calculated. The clinical impressions of the patient, family, and physician were correlated with the patient's perception of change. Results: The EFA indicated a psychometrically suitable four-factor solution. The PCS-P exhibited a coherent relationship with SATIS and had a Cronbach's alpha value of 0.856. No correlations were found between the physician's clinical global impression of improvement and the patient's perception of change, although a moderate positive correlation was found between the patients' clinical global impression of improvement and the change perceived by the patient. Conclusions: The PCS-P exhibited adequate psychometric proprieties in a sample of inpatients with mental disorders. The patient's perception of change is an important dimension for evaluation of outcomes in the treatment of mental disorders and differs from the physician's clinical impression of improvement. Evaluation of positive and negative perceptions of the various dimensions of the patient's life enables more precise consideration of the patient's priorities and interests.
Main Authors: | Pavan,Gabriela, Godoy,Julia Almeida, Monteiro,Ricardo Tavares, Moreschi,Hugo Karling, Nogueira,Eduardo Lopes, Spanemberg,Lucas |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Associação de Psiquiatria do Rio Grande do Sul
2016
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892016000400234 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
Factors related to positive and negative outcomes in psychiatric inpatients in a General Hospital Psychiatric Unit: a proposal for an outcomes index
by: MORESCHI,HUGO KARLING, et al.
Published: (2015) -
Satisfaction with care in a Brazilian psychiatric inpatient unit: differences in perceptions among patients according to type of health insurance
by: Godoy,Julia Almeida, et al.
Published: (2019) -
Prevalence and trends of mental disorders requiring inpatient care in the city of Porto Alegre: a citywide study including all inpatient admissions due to mental disorders in the public system from 2013-2017
by: Salum,Giovanni A., et al.
Published: (2020) -
Patients and physician’s self-assessment regarding clinical stability in severe mental disorders: a cross-sectional study
by: Oliveira,Iraneide Castro de, et al.
Published: (2022) -
Perceived discrimination and mental health disorders: the South African Stress and Health study
by: Moomal,Hashim, et al.
Published: (2009)