Lyneham Heidi J, Rapee Ronald M
Department of Psychology, Macquarie University, Sydney, Australia.
J Am Acad Child Adolesc Psychiatry. 2005 Mar;44(3):274-82. doi: 10.1097/00004583-200503000-00012.
The current study determined the viability of using the telephone to facilitate assessment of children using the Anxiety Disorders Interview Schedule for children for DSM-IV (ADIS-C-IV).
Diagnoses established during telephone administration of the ADIS-C-IV-Parent version were compared with diagnoses obtained during standard administration of the ADIS-C-IV using both Child and Parent versions. Seventy-three children and their parents participated in counterbalanced, repeated assessments.
The level of agreement between telephone and standard administration for principal diagnosis (kappa=0.86), individual anxiety disorders (kappa=0.63-0.86), and other disorders (kappa=0.79-0.91) were in the good to excellent range. Additionally, agreement on overall suitability for an anxiety treatment program was excellent (kappa=0.97).
The data indicate that telephone administration of the ADIS-C-IV is a valid way to differentiate children who have anxiety disorders from those who have no disorder or other disorders, providing a less resource-demanding alternative to face-to-face assessment.
本研究确定了使用电话通过《儿童焦虑症访谈量表（DSM-IV）》（ADIS-C-IV）对儿童进行评估的可行性。
将ADIS-C-IV家长版电话施测时确立的诊断结果，与使用儿童版和家长版ADIS-C-IV进行标准施测时获得的诊断结果进行比较。73名儿童及其家长参与了平衡的重复评估。
电话施测与标准施测在主要诊断（kappa=0.86）、个体焦虑症（kappa=0.63 - 0.86）和其他障碍（kappa=0.79 - 0.91）方面的一致性水平处于良好到优秀范围。此外，在焦虑治疗项目总体适用性方面的一致性极佳（kappa=0.97）。
数据表明，通过电话施测ADIS-C-IV是区分患有焦虑症的儿童与无疾病或患有其他疾病儿童的有效方法，为面对面评估提供了一种资源需求较少的替代方式。
