Is the Health of the Nation Outcome Scales appropriate for the assessment of symptom severity in patients with substance-related disorders?

被引:11
作者
Andreas, Sylke [1 ]
Harries-Hedder, Karin [2 ]
Schwenk, Wolfgang [3 ]
Hausberg, Maria
Koch, Uwe
Schulz, Holger
机构
[1] Univ Med Ctr Hamburg Eppendorf, Ctr Psychosocial Med, Dept Med Psychol, D-20246 Hamburg, Germany
[2] Therapiehilfe eV, D-22089 Hamburg, Germany
[3] Rehabil Clin Subst Disorders, D-25821 Bredstedt, Germany
关键词
Substance abuse; Symptom severity; HoNOS; Psychometric; Psychotherapy; PSYCHIATRIC-PATIENTS; GERMAN VERSION; HONOS-D; RELIABILITY; VALIDITY; VALIDATION; CLASSIFICATION;
D O I
10.1016/j.jsat.2010.03.011
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The Health of the Nation Outcome Scales (HoNOS) is an internationally established clinician-rated instrument. The aim of the study was to assess the psychometric properties in inpatients with substance-related disorders. The HoNOS was applied in a multicenter, consecutive sample of 417 inpatients. Interrater reliability coefficients, confirmatory factor analysis, and regression tree analyses were calculated to assess the reliability and validity of the HoNOS. The factor validity of the HoNOS and its total score could not be confirmed. After training, all items of the HoNOS revealed sufficient values of interrater reliabilities. As the results of the regression tree analyses showed, the single items of the HoNOS were one of the most important predictor of service utilization. The HoNOS can be recommended for obtaining detailed ratings of the problems of inpatients with substance-related disorders as a clinical application in routine mental health care at present. Further studies should include comparisons of HoNOS and Addiction Severity Index. (C) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:32 / 40
页数:9
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