Takahashi Nagahide, Tomita Kenji, Higuchi Teruhiko, Inada Toshiya
Department of Psychiatry and Psychobiology, Nagoya University, Graduate School of Medicine, Japan.
Hum Psychopharmacol. 2004 Apr;19(3):187-92. doi: 10.1002/hup.576.
The inter-rater reliability of the Japanese version of MADRS (MADRSJ) was examined using the structured interview guide for MADRS (SIGMA) developed by our group. Two or more psychiatrists attended the systematic interview sessions with each subject to evaluate MADRSJ independently, using SIGMA. A total of 18 interviews was carried out for seven patients with DSM-IV major depressive disorder. The severity of each item assessed by the raters ranged from 0 to 6 for nine items and from 0 to 4 for one item. The analysis of variance intraclass correlation coefficient inter-rater reliability values for the individual items carried out by two trained personnel ranged from 0.91 to 1.00, while those achieved by three raters ranged from 0.85 to 1.00. The present results suggest that SIGMA is a potentially useful interview guide for assessing ten symptoms of MADRSJ precisely in patients with a depressive disorder.
我们使用本团队开发的蒙哥马利-艾森伯格抑郁量表结构化访谈指南（SIGMA），对蒙哥马利-艾森伯格抑郁量表日语版（MADRSJ）的评分者间信度进行了检验。两名或更多精神科医生使用SIGMA，与每位受试者一起参加系统访谈，以独立评估MADRSJ。对7名符合DSM-IV重度抑郁症的患者共进行了18次访谈。评分者评估的每个项目的严重程度，9个项目为0至6分，1个项目为0至4分。两名经过培训的人员对各个项目进行的组内相关系数评分者间信度值的方差分析范围为0.91至1.00，而三名评分者的范围为0.85至1.00。目前的结果表明，SIGMA是一种潜在有用的访谈指南，可用于精确评估抑郁症患者的MADRSJ的十种症状。
