Fristad M A, Glickman A R, 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):237-45. doi: 10.1089/cap.1998.8.237.
To determine sensitivity and specificity of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) (DSM-IV) revised Children's Interview for Psychiatric Syndromes (ChIPS) in nonclinical samples.
Participants were 40 children 6 to 18 years of age from a community sample (n = 22) or a bereaved sample 1 to 2 years following the death of a parent (n = 18). ChIPS and the Diagnostic Interview for Children and Adolescents (DICA-R-C) were administered in a Latin Square design. A consensus conference (CC) of child psychopathology experts determined presence or absence of syndromes or symptoms after reviewing assessment materials not including ChIPS.
Sensitivity is commensurate with epidemiologic base rates (17.5% of participants endorsed at least one syndrome). Low base rate kappas and percentage agreement were calculated to determine agreement on symptom or syndrome endorsement for 20 disorders. For syndrome analyses, over half the kappas could not be calculated due to 100% agreement on absence. For symptom analyses, 3 of 20 kappas could not be calculated (100% agreement on absence). Eleven of ChIPS/DICA-R-C symptom kappas were significant (p < 0.04), 2 of 17 had 95% agreement (kappas, p < 0.08), and 4 of 17 had 97.5% agreement (kappas, p < 0.16). Thirteen of 17 ChIPS/CC symptom kappas were significant (p < 0.04), and 4 of 17 had 97.5% agreement (kappas, p < 0.16).
ChIPS' psychometrics in nonclinical samples compares favorably with that of other structured interviews.
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）在非临床样本中的敏感性和特异性。
参与者为40名6至18岁的儿童，其中22名来自社区样本，18名来自父母一方去世1至2年后的丧亲样本。ChIPS和儿童青少年诊断访谈量表（DICA-R-C）采用拉丁方设计进行施测。儿童精神病理学专家共识会议（CC）在审查不包括ChIPS的评估材料后确定是否存在综合征或症状。
敏感性与流行病学基础率相当（17.5%的参与者认可至少一种综合征）。计算低基础率卡帕值和百分比一致性，以确定20种障碍在症状或综合征认可方面的一致性。对于综合征分析，由于在不存在方面达成100%的一致性，超过一半的卡帕值无法计算。对于症状分析，20个卡帕值中有3个无法计算（在不存在方面达成100%的一致性）。ChIPS/DICA-R-C症状卡帕值中有11个具有显著性（p < 0.04），17个中有2个具有95%的一致性（卡帕值，p < 0.08），17个中有4个具有97.5%的一致性（卡帕值，p < 0.16）。17个ChIPS/CC症状卡帕值中有13个具有显著性（p < 0.04），17个中有4个具有97.5%的一致性（卡帕值，p < 0.16）。
ChIPS在非临床样本中的心理测量学表现优于其他结构化访谈。
