Shaffer D, Fisher P, Lucas C P, Dulcan M K, Schwab-Stone M E
Division of Child and Adolescent Psychiatry, Columbia University, New York 10032, USA.
J Am Acad Child Adolesc Psychiatry. 2000 Jan;39(1):28-38. doi: 10.1097/00004583-200001000-00014.
To describe the National Institute of Mental Health Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV) and how it differs from earlier versions of the interview. The NIMH DISC-IV is a highly structured diagnostic interview, designed to assess more than 30 psychiatric disorders occurring in children and adolescents, and can be administered by "lay" interviewers after a minimal training period. The interview is available in both English and Spanish versions.
An editorial board was established in 1992 to guide DISC development and ensure that a standard version of the instrument is maintained. Preliminary reliability and acceptability results of the NIMH DISC-IV in a clinical sample of 84 parents and 82 children (aged 9-17 years) drawn from outpatient child and adolescent psychiatric clinics at 3 sites are presented. Results of the previous version in a community sample are reviewed.
Despite its greater length and complexity, the NIMH DISC-IV compares favorably with earlier versions. Alternative versions of the interview are in development (the Present State DISC, the Teacher DISC, the Quick DISC, the Voice DISC).
The NIMH DISC is an acceptable, inexpensive, and convenient instrument for ascertaining a comprehensive range of child and adolescent diagnoses.
描述美国国立精神卫生研究所儿童诊断访谈量表第四版（NIMH DISC-IV），以及它与该访谈早期版本的不同之处。NIMH DISC-IV是一种高度结构化的诊断访谈工具，旨在评估儿童和青少年中出现的30多种精神障碍，经过最短的培训期后，“非专业”访谈者即可进行访谈。该访谈有英文和西班牙文版本。
1992年成立了一个编辑委员会来指导DISC的开发，并确保该工具的标准版本得以维持。本文展示了NIMH DISC-IV在来自3个地点的门诊儿童和青少年精神科诊所抽取的84名家长和82名儿童（9至17岁）的临床样本中的初步信度和可接受性结果。回顾了社区样本中早期版本的结果。
尽管NIMH DISC-IV篇幅更长、更复杂，但与早期版本相比仍具有优势。该访谈的其他版本正在开发中（现状DISC、教师DISC、快速DISC、语音DISC）。
NIMH DISC是一种可接受、廉价且方便的工具，用于确定一系列全面的儿童和青少年诊断。
