Grzesiak M, Kiejna A
Katedry i Kliniki Psychiatrii AM we Wrocławiu.
Psychiatr Pol. 1999 Jul-Aug;33(4):519-33.
The paper presents diagnostic instruments employed in psychiatric; brief history of their development with regard to their importance for progress in psychiatric epidemiology, the characteristic of the most important diagnostic questionnaire (Present State Examination--PSE, Composite International Diagnostic Interview--CIDI, Schedules for Clinical Assessment In Neuropsychiatry--SCAN, Structured Clinical Interview for DSM IV--SCID, Schedule for Affective Disorders and Schizophrenia--SADS, Diagnostic Interview Schedule--DIS). It also describes some features that should be considered while choosing a proper instrument for a given study. The authors call attention to some differences between instruments, e.g., those related to the structure of the questionnaire, involving diagnostic categories, the sort of information that an instrument allows to collect, competence of interviewers and their training, and also population for which the instrument is assigned. Presenting advantages and disadvantages of instruments, the authors emphasize that there is no best instrument. The choice of questionnaire depends, first of all, on the purpose of the study and the funds that the researches have at their disposal.
本文介绍了精神科使用的诊断工具;简述其发展历程以及对精神科流行病学进展的重要性,介绍了最重要的诊断问卷(现况检查——PSE、复合国际诊断访谈——CIDI、神经精神病临床评估量表——SCAN、精神疾病诊断与统计手册第四版结构化临床访谈——SCID、情感障碍与精神分裂症量表——SADS、诊断访谈量表——DIS)的特点。还描述了在为特定研究选择合适工具时应考虑的一些特征。作者提醒注意不同工具之间的一些差异,例如与问卷结构相关的差异,包括诊断类别、工具允许收集的信息种类、访谈者的能力及其培训情况,以及该工具所适用的人群。在介绍工具的优缺点时,作者强调没有最好的工具。问卷的选择首先取决于研究目的和研究人员可支配的资金。