Measuring Patient Symptom Change on Rural Psychiatry Units: Utility of the Symptom Checklist-90 Revised
J Clin Psychiatry 2000;61(7):493-497
© Copyright 2014 Physicians Postgraduate Press, Inc.
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Background: Mental health service providers have
seen an increased need for demonstrating symptom reductions
during the past decade. This change has been particularly evident
to those working in inpatient psychiatry facilities where there
is considerable need for a brief, easily administered, and
low-cost means of tracking symptom change. The current study
evaluated the utility of using the Symptom Checklist-90 Revised
for tracking symptom reductions in patients admitted to rural
adolescent and adult psychiatry units.
Method: Consecutive admissions to adolescent (N
= 104) and adult (N = 125) psychiatry units located in a rural
community hospital served as subjects. The mean length of stay
was 8 days for adolescents and 7 days for adults. Patients were
administered the Symptom Checklist-90 Revised at admission and
just prior to discharge. Psychiatrists provided a DSM-IV primary
diagnosis for each patient.
Results: Principal component analyses on both
the adolescent and adult admission and discharge Symptom
Checklist-90 Revised subscales resulted in a 1-factor solution.
Repeated-measures ANOVAs demonstrated the Global Severity Index
to be a sensitive measure of clinically significant
admission-to-discharge symptom change. Analyses using
psychiatrist-assigned diagnoses revealed that all diagnostic
categories evinced significant admission-to-discharge symptom
Discussion: Implications for using the Symptom
Checklist-90 Revised to evaluate clinically significant symptom
changes on rural inpatient psychiatry units are discussed.