tag:blogger.com,1999:blog-6886575137375451769.post8322365044045334351..comments2023-08-08T00:53:58.434-07:00Comments on Garth Kroeker: Rating Scales: limitations & ideas for changeGKhttp://www.blogger.com/profile/14714377295981745087noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-6886575137375451769.post-91714267162160799902011-03-14T14:51:09.192-07:002011-03-14T14:51:09.192-07:00Thanks, another interesting reference.
A phenom...Thanks, another interesting reference. <br /><br />A phenomenon I've often thought about is of depression and other psychological problems having various stages of recovery. Often times, aspects of mood which are more apparent to others improve sooner than aspects which are apparent only to self. <br /><br />I don't see this necessarily as a contradiction between self-report and clinician-report, but as evidence of this type of staged recovery process. <br /><br />It would be important for the clinician who observes some kind of objective improvement not to leave the patient feeling dismissed or poorly empathized with, if the patient is not feeling the same kind of positive improvement that the clinician sees.GKhttps://www.blogger.com/profile/14714377295981745087noreply@blogger.comtag:blogger.com,1999:blog-6886575137375451769.post-81351866747970748692011-03-13T22:48:52.194-07:002011-03-13T22:48:52.194-07:00http://www.ncbi.nlm.nih.gov/pubmed/20619943
Self-...http://www.ncbi.nlm.nih.gov/pubmed/20619943<br /><br />Self-reported versus clinician-rated symptoms of depression as outcome measures in psychotherapy research on depression: a meta-analysis.<br /><br />(HRSD and BDI)<br /><br />Interesting<br />-----<br />Physician ratings of<br />measures of improvement following psychotherapy is small but significantly higher than the patient self report ratingsAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-6886575137375451769.post-42866121686152362332010-01-28T07:51:16.195-08:002010-01-28T07:51:16.195-08:00Garth,
Slightly off topic question, but it doesn&#...Garth,<br />Slightly off topic question, but it doesn't look like you've addressed it on the blog:<br /><br />What are your thoughts on self-help workbooks? Are there books/other materials you suggest for people?Rachhttps://www.blogger.com/profile/11897760883997811787noreply@blogger.comtag:blogger.com,1999:blog-6886575137375451769.post-71987236664303880272010-01-24T13:58:11.710-08:002010-01-24T13:58:11.710-08:00Hi Rach,
Usually the scales are used on an ongoin...Hi Rach,<br /><br />Usually the scales are used on an ongoing basis, though sometimes just for an initial assessment to help with "diagnosis." Most often they would be used in a research study: individuals would usually need to have a minimum score on a scale in order to qualify for the study. Then, the rating scales would be repeated every week or so, for the duration of the study (typically over a few months). The study would usually depict the change of total rating scale scores, of treatment vs. placebo. <br /><br />Some therapists do rating scales with patients as a part of regular follow-up. I have heard of some therapists doing this every single session. I have never done this, because I think it interferes with a naturally flowing conversation. Also, it uses up at least 5-10 minutes of time every session, which in my opinion would often interrupt a patient's sense of freedom and control of the frame, and impose more (possibly unwelcome) formality on the therapeutic relationship. However, rating scales in therapy sessions could be useful in some cases; one advantage of rating scales is that they compel us to keep track of a wide range of symptoms every time, and invite us to ask questions about important areas that we might forget to consider otherwise.GKhttps://www.blogger.com/profile/14714377295981745087noreply@blogger.comtag:blogger.com,1999:blog-6886575137375451769.post-79041003815948188822010-01-23T05:00:00.935-08:002010-01-23T05:00:00.935-08:00are these indexes/surveys used only once, or are t...are these indexes/surveys used only once, or are they meant to be used as an ongoing assessment tool?Rachhttps://www.blogger.com/profile/11897760883997811787noreply@blogger.com