意大利标准化扩展版简明精神病评定量表（BPRS 4.0）在高临床经验与低临床经验评估者中的信度
Reliability of an Italian standardized and expanded Brief Psychiatric Rating Scale (BPRS 4.0) in raters with high vs. low clinical experience.
作者信息
Roncone R, Ventura J, Impallomeni M, Falloon I R, Morosini P L, Chiaravalle E, Casacchia M
机构信息
Psychiatric Department, University of LAquila, Italy.
出版信息
Acta Psychiatr Scand. 1999 Sep;100(3):229-36. doi: 10.1111/j.1600-0447.1999.tb10850.x.
OBJECTIVE
The aims of this study were (i) to assess the inter-rater reliability of the latest Italian expanded 24-item version of the Brief Psychiatric Rating Scale, BPRS version 4.0 and (ii) to assess the feasibility of obtaining reliable BPRS 4.0 ratings by reliability training of clinically less experienced trainees (medical and rehabilitation students).
METHOD
A videotape-training procedure was used, and the inter-rater agreement scores of three different groups of raters, namely psychiatrists and psychologists (n=28), psychosocial rehabilitation students (n=27) and medical students (n=54) were calculated and compared.
RESULTS
The results indicated that both experienced raters (psychiatrists and psychologists) and inexperienced raters (medical and psychosocial rehabilitation students) were able to achieve high levels of inter-rater reliability.
CONCLUSION
Our results are of particular interest in view of the increasing need to draw upon professionals, other than psychiatrists and psychologists, for cost-effective and standardized evaluation of rehabilitation interventions.
目的
本研究的目的是：（i）评估最新的意大利扩展版24项简明精神病评定量表（BPRS 4.0版）评分者间的信度；（ii）评估通过对临床经验较少的受训者（医学和康复专业学生）进行信度培训来获得可靠的BPRS 4.0评分的可行性。
方法
采用录像带培训程序，计算并比较了三组不同评分者（精神科医生和心理学家，n = 28；心理社会康复专业学生，n = 27；医学生，n = 54）的评分者间一致性得分。
结果
结果表明，经验丰富的评分者（精神科医生和心理学家）和经验不足的评分者（医学和心理社会康复专业学生）都能够达到较高水平的评分者间信度。
结论
鉴于越来越需要利用精神科医生和心理学家以外的专业人员进行具有成本效益的标准化康复干预评估，我们的研究结果尤其令人关注。
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