Albert M S, Levkoff S E, Reilly C, Liptzin B, Pilgrim D, Cleary P D, Evans D, Rowe J W
Department of Psychiatry, Massachusetts General Hospital, Boston.
J Geriatr Psychiatry Neurol. 1992 Jan-Mar;5(1):14-21. doi: 10.1177/002383099200500103.
To study delirium in hospitalized elderly, a delirium symptom interview (DSI) was developed by an interdisciplinary group of investigators. This interview was administered in an acute care hospital to 50 patients who were over the age of 65 years. Results from the interview were compared to assessments of major symptoms of delirium made independently by a neurologist and a psychiatrist. This interview had good validity and reliability. The sensitivity of the DSI was .90 and the specificity was .80, when compared with the clinical judgment of a psychiatrist and neurologist. Interrater reliability, using lay interviewers, was .90 for the detection of major symptoms of delirium. These results indicate that the DSI could be used by lay interviewers to assess reliably the symptoms of delirium.
为研究住院老年人的谵妄，一个跨学科研究小组开发了谵妄症状访谈（DSI）。该访谈在一家急症医院对50名65岁以上的患者进行。访谈结果与神经科医生和精神科医生独立做出的谵妄主要症状评估进行了比较。该访谈具有良好的效度和信度。与精神科医生和神经科医生的临床判断相比，DSI的敏感性为0.90，特异性为0.80。使用非专业访谈者时，评定者间信度在谵妄主要症状检测方面为0.90。这些结果表明，非专业访谈者可以使用DSI可靠地评估谵妄症状。
