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Evaluation Review
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Test-Taking and the Stability of Adjustment Scales

Can We Assess Patient Deterioration?

Daniel W. Edwards

University of California, Davis

Richard M. Yarvis

University of California, Davis

Daniel P. Mueller

University of Pittsburgh School of Public Health

Holly C. Zingale

3Sacramento Medical Center

William J. Wagman

3Sacramento Medical Center

Nonpatient responses to five major adjustment scales were examined at three time-points, two weeks apart. There was no evidence for a systematic increase in adjustment scores due to completing the instruments. Internal consistency coefficients and test-retest stability coefficients for the five adjustment scales show them to have utility for assessing patient groups. Only the SCL-90 showed promise for allowing reliable assessment of individual change over time. All five scales significantly discriminate patient groups from groups of nonpatients. Further research is needed to clarify present results, to determine the clinical significance of various magnitude changes on the scales, and to develop more specific measures of adjustment and symptomatology.

Evaluation Review, Vol. 2, No. 2, 275-291 (1978)
DOI: 10.1177/0193841X7800200206
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