临床实践中当前精神状态的结构化评估：关于《当前精神状态访谈》（CPS - 50）可靠性和有效性的国际研究
Structured assessment of current mental state in clinical practice: an international study of the reliability and validity of the Current Psychiatric State interview, CPS-50.
作者信息
Falloon I R H, Mizuno M, Murakami M, Roncone R, Unoka Z, Harangozo J, Pullman J, Gedye R, Held T, Hager B, Erickson D, Burnett K
机构信息
OTP European Coordinating Centre, ARIETE, Perugia, Italy.
出版信息
Acta Psychiatr Scand. 2005 Jan;111(1):44-50. doi: 10.1111/j.1600-0447.2004.00405.x.
OBJECTIVE
To develop a reliable standardized assessment of psychiatric symptoms for use in clinical practice.
METHOD
A 50-item interview, the Current Psychiatric State 50 (CPS-50), was used to assess 237 patients with a range of psychiatric diagnoses. Ratings were made by interviewers after a 2-day training. Comparisons of inter-rater reliability on each item and on eight clinical subscales were made across four international centres and between psychiatrists and non-psychiatrists. A principal components analysis was used to validate these clinical scales.
RESULTS
Acceptable inter-rater reliability (intra-class coefficient > 0.80) was found for 46 of the 50 items, and for all eight subscales. There was no difference between centres or between psychiatrists and non-psychiatrists. The principal components analysis factors were similar to the clinical scales.
CONCLUSION
The CPS-50 is a reliable standardized assessment of current mental status that can be used in clinical practice by all mental health professionals after brief training.
目的
开发一种可靠的标准化精神症状评估方法，用于临床实践。
方法
采用一项包含50个条目的访谈，即当前精神状态50（CPS - 50），对237例患有一系列精神疾病诊断的患者进行评估。经过为期2天的培训后，由访谈者进行评分。在四个国际中心以及精神科医生和非精神科医生之间，对每个条目和八个临床子量表的评分者间信度进行了比较。采用主成分分析来验证这些临床量表。
结果
50个条目中的46个以及所有八个子量表的评分者间信度均可接受（组内相关系数>0.80）。各中心之间以及精神科医生和非精神科医生之间均无差异。主成分分析因子与临床量表相似。
结论
CPS - 50是一种可靠的当前精神状态标准化评估方法，经过简短培训后，所有心理健康专业人员均可在临床实践中使用。
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