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研究二:《精神疾病诊断与统计手册第三版修订版儿童精神综合征访谈量表》(ChIPS)的同时效度。

Study II: concurrent validity of the DSM-III-R Children's Interview for Psychiatric Syndromes (ChIPS).

作者信息

Teare M, Fristad M A, Weller E B, Weller R A, Salmon P

机构信息

Department of Psychiatry, Ohio State University, Columbus 43210-1250, USA.

出版信息

J Child Adolesc Psychopharmacol. 1998;8(4):213-9. doi: 10.1089/cap.1998.8.213.

DOI:10.1089/cap.1998.8.213
PMID:10214925
Abstract

OBJECTIVE

To test the concurrent validity of the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., revised) (DSM-III-R) revised Children's Interview for Psychiatric Syndromes (ChIPS).

METHOD

In this study, the DSM-III-R revised ChIPS, the DSM-III-R revised Diagnostic Interview for Children and Adolescents (DICA-R-C), and clinicians' diagnoses were compared in 71 inpatients and outpatients 6 to 13 years of age using a standard kappa coefficient or a rare kappa coefficient and percentage agreement.

RESULTS

High levels of agreement were found between the two interviews on all 14 syndromes analyzed (p < 0.05). ChIPS and DICA also had high levels of agreement with clinicians' diagnoses. When DSM-III-R revised ChIPS and DICA-R-C results were discrepant, ChIPS results were somewhat more likely than DICA-R-C results (48 % versus 38%) to agree with the clinician's diagnoses.

CONCLUSION

ChIPS appears to be a valid assessment for screening children in inpatient and outpatient mental health facilities. It has the added benefit of being brief, with average administration time of 46 minutes for an inpatient sample and 36 minutes for an outpatient sample.

摘要

目的

检验《精神疾病诊断与统计手册》(第3版,修订版)(DSM-III-R)修订版儿童精神综合征访谈表(ChIPS)的同时效度。

方法

在本研究中,使用标准kappa系数或稀有kappa系数及百分比一致性,对71名6至13岁的住院和门诊患者比较了DSM-III-R修订版ChIPS、DSM-III-R修订版儿童及青少年诊断访谈表(DICA-R-C)和临床医生的诊断结果。

结果

在分析的所有14种综合征中,两次访谈之间均发现高度一致性(p < 0.05)。ChIPS和DICA与临床医生的诊断结果也具有高度一致性。当DSM-III-R修订版ChIPS和DICA-R-C结果不一致时,ChIPS结果比DICA-R-C结果(48%对38%)更有可能与临床医生的诊断结果一致。

结论

ChIPS似乎是一种用于筛查住院和门诊心理健康机构中儿童的有效评估工具。它还有一个额外的优点,即用时简短,住院患者样本的平均施测时间为46分钟,门诊患者样本为36分钟。

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