Lucas C P, Zhang H, Fisher P W, Shaffer D, Regier D A, Narrow W E, Bourdon K, Dulcan M K, Canino G, Rubio-Stipec M, Lahey B B, Friman P
Columbia University College of Physicians and Surgeons/New York State Psychiatric Institute, New York, USA.
J Am Acad Child Adolesc Psychiatry. 2001 Apr;40(4):443-9. doi: 10.1097/00004583-200104000-00013.
To derive and test a series of brief diagnosis-specific scales to identify subjects who are at high probability of meeting diagnostic criteria and those who may safely be spared more extensive diagnostic inquiry.
Secondary data analysis of a large epidemiological data set (n = 1,286) produced a series of gate and contingent items for each diagnosis. Findings were replicated in a second retrospective analysis from a residential care sample (n = 884). The DISC Predictive Scales (DPS) were then used prospectively as a self-report questionnaire in two studies, in which parents (n = 128) and/or adolescents (n = 208) had subsequent diagnostic interviewing with the Diagnostic Interview Schedule for Children or the Schedule for Affective Disorders and Schizophrenia for School-Age Children.
All analyses showed that gate item selection was valid and that any missed cases were due solely to inconsistent reports on the same questions. Screening performance of the full scales was shown to be good, and substantial reductions in scale length were not associated with significant changes in discriminatory power.
The DPS can accurately determine subjects who can safely be spared further diagnostic inquiry in any diagnostic area. This has the potential to speed up structured diagnostic interviewing considerably. The full DPS can be used to screen accurately for cases of specific DSM-III-R disorders.
推导并测试一系列针对特定诊断的简短量表，以识别极有可能符合诊断标准的受试者以及那些可安全免于更广泛诊断询问的受试者。
对一个大型流行病学数据集（n = 1286）进行二次数据分析，为每种诊断生成了一系列入门项目和应急项目。在对一个机构照料样本（n = 884）进行的第二次回顾性分析中重复了研究结果。然后，在两项研究中前瞻性地将儿童诊断访谈预测量表（DISC Predictive Scales, DPS）用作自陈式问卷，其中父母（n = 128）和/或青少年（n = 208）随后接受了使用儿童诊断访谈量表或学龄儿童情感障碍和精神分裂症量表进行的诊断访谈。
所有分析均表明入门项目的选择是有效的，任何漏诊病例完全是由于对相同问题的报告不一致所致。完整量表的筛查表现良好，量表长度的大幅缩短与鉴别力的显著变化无关。
DPS能够准确确定在任何诊断领域可安全免于进一步诊断询问的受试者。这有可能显著加快结构化诊断访谈的速度。完整的DPS可用于准确筛查特定DSM-III-R障碍的病例。
