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ADP-IV问卷:区分效度及与半结构式访谈的一致性

The ADP-IV questionnaire: differential validity and concordance with the semi-structured interview.

作者信息

Schotte Chris K W, De Doncker Dirk A M, Dmitruk Dorota, Van Mulders Ineke, D'Haenen Hugo, Cosyns Paul

机构信息

UZA, University Hospital Antwerp, Department of Psychiatry, and CAPRI, Collaborative Antwerp Psychiatric Research Institute, University of Antwerp, Belgium.

出版信息

J Pers Disord. 2004 Aug;18(4):405-19. doi: 10.1521/pedi.18.4.405.40348.

Abstract

The Assessment of DSM-IV Personality Disorders questionnaire (ADP-IV) is a self-report measure of the DSM-IV Axis II personality disorders (PDs). The ADP-IV assesses for each DSM-IV criterion its typicality as well as the accompanying distress and impairment. This study investigates two important aspects of the construct validity of the ADP-IV: (a) the differential validity (i.e., the ability to differentiate between a sample of the general Flemish population ( n = 659) and a sample of psychiatric inpatients ( n = 487) with a high prevalence of clinical PD diagnoses, and patients with and without a PD in the psychiatric sample; (b) the convergent validity with the SCID-II semi-structured interview in a population of psychiatric inpatients ( n = 59). The results indicate a good differential validity: the dimensional scales and the categorical measures discriminated well between both groups and between patients with and without a PD diagnosis in the psychiatric sample. Concerning the concordance with the SCID-II, a decent level of agreement is exemplified by a correlation of.67 between the dimensional total scores of both instruments and by kappa coefficients for an "any" Axis II diagnosis at the.50 level. In conclusion, the results indicate that the ADP-IV is an efficient method for assessing PD in dimensional and categorical ways.

摘要

《精神疾病诊断与统计手册》第四版人格障碍评估问卷(ADP-IV)是一种用于自我报告《精神疾病诊断与统计手册》第四版轴II人格障碍(PDs)的测量工具。ADP-IV针对《精神疾病诊断与统计手册》第四版的每一项标准评估其典型性以及伴随的痛苦和损害。本研究调查了ADP-IV结构效度的两个重要方面:(a)区分效度(即区分弗拉芒普通人群样本(n = 659)和临床PD诊断患病率高的精神科住院患者样本(n = 487),以及精神科样本中有和没有PD的患者的能力);(b)在精神科住院患者群体(n = 59)中与《精神疾病诊断与统计手册》轴II障碍定式临床检查问卷第二版(SCID-II)半结构化访谈的聚合效度。结果表明具有良好的区分效度:维度量表和分类测量在两组之间以及精神科样本中有和没有PD诊断的患者之间有很好的区分度。关于与SCID-II的一致性,两种工具的维度总分之间的相关性为0.67,以及“任何”轴II诊断的kappa系数为0.50,体现了相当程度的一致性。总之,结果表明ADP-IV是一种以维度和分类方式评估PD的有效方法。

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