Fristad M A, Cummins J, Verducci J S, Teare M, Weller E B, Weller R A
Department of Psychiatry, Ohio State University, Columbus 43210-1250, USA.
J Child Adolesc Psychopharmacol. 1998;8(4):227-36. doi: 10.1089/cap.1998.8.227.
To determine validity of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) (DSM-IV) revised Children's Interview for Psychiatric Syndromes (ChIPS) in inpatient children and adolescents.
Participants were 47 psychiatric inpatients 6-12 (n = 23) and 12 to 18 years of age (n = 24). ChIPS was administered to all participants. The Diagnostic Interview for Children and Adolescents-Revised-Child Version (DICA-R-C) was administered to 40 participants. Discharge diagnoses were recorded for all participants. Kappas, low base rate kappas, and percentage agreement were used to assess diagnostic agreement between sources for 18 disorders.
ChIPS/DICA-R-C kappas could not be calculated for two disorders because of 100% agreement on their absence. Fourteen of 16 kappas were significant (p < 0.05). The remaining 2 of 16 disorders had 98% agreement (kappax = 0.494, p < 0.157). When ChIPS results were compared with discharge diagnoses, sensitivity for each disorder averaged 70%, whereas specificity averaged 84%. When disagreements occurred between all three sources, ChIPS was somewhat more likely than DICA-R-C to agree with discharge diagnoses (27% versus 22%). Analysis were repeated for children and adolescents, then for boys and girls. Boys and children had fewer significant ChIPS and DICA-R-C kappa coefficients compared with girls and adolescents; this appeared to be related to the fewer number of diagnoses they endorsed. ChIPS/clinician agreement was similar for boys and girls as well as for children and adolescents. Administration time was less for ChIPS than for DICA-R-C (p < 0.08).
Psychometric properties of the DSM-IV revised ChIPS compare favorably with that of other structured interviews. ChIPS appears to work well for adolescents as well as children.
确定《精神疾病诊断与统计手册》（第4版）（DSM-IV）修订版儿童精神综合征访谈量表（ChIPS）在住院儿童及青少年中的效度。
参与者为47名6至12岁（n = 23）和12至18岁（n = 24）的精神科住院患者。对所有参与者实施ChIPS。对40名参与者实施儿童及青少年诊断访谈修订版儿童版（DICA-R-C）。记录所有参与者的出院诊断。使用卡帕值、低基础率卡帕值和百分比一致性来评估18种疾病各来源之间的诊断一致性。
由于两种疾病均未出现，无法计算ChIPS/DICA-R-C卡帕值。16种卡帕值中有14种具有显著性（p < 0.05）。其余16种疾病中的2种一致性为98%（卡帕值 = 0.494，p < 0.157）。将ChIPS结果与出院诊断进行比较时，每种疾病的敏感性平均为70%，而特异性平均为84%。当所有三个来源之间出现分歧时，ChIPS比DICA-R-C更有可能与出院诊断一致（27%对22%）。对儿童和青少年、男孩和女孩分别重复进行分析。与女孩和青少年相比，男孩和儿童的ChIPS与DICA-R-C卡帕系数显著性更低；这似乎与他们认可的诊断数量较少有关。男孩和女孩以及儿童和青少年的ChIPS/临床医生一致性相似。ChIPS的施测时间比DICA-R-C少（p < 0.08）。
DSM-IV修订版ChIPS的心理测量特性与其他结构化访谈相比具有优势。ChIPS在青少年和儿童中似乎都能很好地发挥作用。
