Wiseman M R, Vizard E, Bentovim A, Leventhal J
Department of Child and Adolescent Psychiatry, Guy's Hospital, London.
BMJ. 1992 Apr 25;304(6834):1089-91. doi: 10.1136/bmj.304.6834.1089.
To determine the reliability of judgments about the likelihood of child sexual abuse based only on video recorded interviews.
Blinded rating of likelihood of abuse by seven professional groups and comparison with consensus rating.
Child and adolescent psychiatry centre.
Four people from each of seven professional disciplines: specialist psychiatrists, general psychiatrists, experimental psychologists, trainee social workers, trainee clinical psychologists, lawyers, and police.
Rating of 12 recorded interviews.
Agreement between the consensus panel and professional groups was 83% (151/183) for high likelihood cases (seven cases) and 89% (118/132) for low likelihood cases (five). Specialist psychiatrists and the police were better able to identify high likelihood cases than were other groups with less experience of interviewing sexually abused children (91% (48/53) v 79% (102/129); p = 0.05).
Raters could accurately distinguish children with low likelihood of abuse on interview evidence alone, but those with more experience of dealing with sexual abuse were better at identifying high likelihood cases.
仅基于视频记录的访谈来确定对儿童性虐待可能性判断的可靠性。
由七个专业小组对虐待可能性进行盲法评分，并与共识评分进行比较。
儿童与青少年精神病学中心。
来自七个专业学科的人员各四名：专科精神科医生、普通精神科医生、实验心理学家、实习社会工作者、实习临床心理学家、律师和警察。
对12次记录访谈进行评分。
对于高可能性案例（7例），共识小组与专业小组之间的一致性为83%（151/183）；对于低可能性案例（5例），一致性为89%（118/132）。专科精神科医生和警察比其他在询问受性虐待儿童方面经验较少的小组更能识别高可能性案例（91%（48/53）对79%（102/129）；p = 0.05）。
评分者仅根据访谈证据就能准确区分虐待可能性低的儿童，但那些处理性虐待经验更丰富的人在识别高可能性案例方面表现更佳。
