Comparison of self-ratings and therapist ratings of outpatients' psychosocial status

In psychiatric treatment, differences between therapists' observer ratings and patients' self-ratings are well known. We studied these differences in a sample of chronically mentally ill outpatients. The results show that the patients rated their psychosocial status significantly better than their t herapists. By means of multiple regression analysis, we designed a model to explain the specific differences. By placing more emphasis on leisure acti vities and less emphasis on addictive behavior, compliance, and psychopatho logy, therapists might predict global ratings given by patients more accura tely. This model helps therapists obtain a better understanding of their pa tients.