国际疾病分类第10版（ICD - 10）人格与共病障碍的诊断一致性：临床环境中标准临床评估与结构化访谈的比较
Diagnostic concordance of ICD-10 personality and comorbid disorders: a comparison of standard clinical assessment and structured interviews in a clinical setting.
作者信息
Egan Sarah, Nathan Paula, Lumley Margaret
机构信息
School of Psychology, Curtin University of Technology, Perth, Australia.
出版信息
Aust N Z J Psychiatry. 2003 Aug;37(4):484-91. doi: 10.1046/j.1440-1614.2003.01226.x.
OBJECTIVE
The diagnosis of personality disorders is one of the most problematic areas in psychiatric diagnosis. Diagnoses are usually made by standard clinical interview, but they have poor reliability. The aim of this study was to compare the concordance in diagnosis between structured assessment tools and assessment as usual in a clinical setting.
METHOD
Diagnosis of 33 patients on the International Personality Disorder Examination (IPDE) and the Mini International Neuropsychiatric Interview (MINI) was compared to diagnosis made by standard assessment through clinical interview.
RESULTS
There was poor concordance between structured measures and standard assessment by clinical interview, and poor levels of diagnostic sensitivity and specificity on standard assessment.
CONCLUSION
Structured measures were more comprehensive, sensitive and specific in diagnosis than standard clinical assessment. Increased diagnostic accuracy is needed for effective understanding and treatment planning for personality disorders.
目的
人格障碍的诊断是精神科诊断中最具问题的领域之一。诊断通常通过标准临床访谈进行，但可靠性较差。本研究的目的是比较结构化评估工具与临床环境中常规评估在诊断方面的一致性。
方法
将33例患者通过国际人格障碍检查表（IPDE）和迷你国际神经精神访谈（MINI）进行的诊断与通过临床访谈进行的标准评估所做出的诊断进行比较。
结果
结构化测量与临床访谈的标准评估之间一致性较差，标准评估的诊断敏感性和特异性水平较低。
结论
在诊断方面，结构化测量比标准临床评估更全面、敏感和特异。为了有效地理解人格障碍并制定治疗计划，需要提高诊断准确性。
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