Moran Paul, Leese Morven, Lee Tennyson, Walters Paul, Thornicroft Graham, Mann Anthony
Health Services Research Department, Institute of Psychiatry, London, UK.
Br J Psychiatry. 2003 Sep;183:228-32. doi: 10.1192/bjp.183.3.228.
There is a need for a brief and simple screen for personality disorders that can be used in routine psychiatric assessments.
To test the concurrent validity and test-retest reliability of a brief screen for personality disorder.
Sixty psychiatric patients were administered a brief screening interview for personality disorder. On the same day, they were interviewed with an established assessment for DSM-IV personality disorder. Three weeks later, the brief screening interview was repeated in order to examine test-retest reliability.
A score of 3 on the screening interview correctly identified the presence of DSM-IV personality disorder in 90% of participants. The sensitivity and specificity were were 0.94 and and 0.85 respectively.
The study provides preliminary evidence of the usefulness of the screen in routine clinical settings.
需要一种简短且简单的人格障碍筛查工具,可用于常规精神病学评估。
测试一种简短的人格障碍筛查工具的同时效度和重测信度。
对60名精神科患者进行了一次简短的人格障碍筛查访谈。同一天,他们接受了针对DSM-IV人格障碍的既定评估。三周后,重复进行简短的筛查访谈以检验重测信度。
筛查访谈得分为3时,能在90%的参与者中正确识别出存在DSM-IV人格障碍。敏感性和特异性分别为0.94和0.85。
该研究为该筛查工具在常规临床环境中的实用性提供了初步证据。