Grevet Eugenio Horácio, Bau Claiton Henrique Dotto, Salgado Carlos Alberto Iglesias, Ficher Aline, Victor Marcelo Moraes, Garcia Christiane, de Sousa Nyvia Oliveira, Nerung Luciana, Belmonte-De-Abreu Paulo
Departamento de Psiquiatria e Medicina Legal, Faculdade de Medicina, Instituto de Biociencias, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
Arq Neuropsiquiatr. 2005 Jun;63(2A):307-10. doi: 10.1590/s0004-282x2005000200019.
The diagnosis of attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) in adults lacks adequate assessment instruments. The aim of this investigation is to evaluate the interrater reliability of the sections of K-SADS-E adapted for the diagnosis of these disorders among adults. The adaptations were limited to asking questions directly to the patient, investigation of a later onset of symptoms, and asking for adult specific symptoms. Six trained raters scored 16 recorded interviews. Kappa coefficients were 1.00 for ADHD diagnosis in the past, 0.91 for subtype in the past, 1.00 for ADHD diagnosis in the present, 0.95 for subtype in the present, 1.00 and 0.89 for ODD diagnosis in the past and present, respectively (all with p < 0.001). These results reveal excellent agreement for the ADHD and ODD diagnosis in adults using the adapted form of the Portuguese version of K-SADS-E.
成人注意力缺陷多动障碍（ADHD）和对立违抗障碍（ODD）的诊断缺乏足够的评估工具。本调查的目的是评估改编后的K-SADS-E用于成人这些障碍诊断的各部分之间的评分者信度。改编内容仅限于直接向患者提问、调查症状的较晚起病情况以及询问成人特有的症状。六位经过培训的评分者对16次记录的访谈进行了评分。过去ADHD诊断的kappa系数为1.00，过去亚型的kappa系数为0.91，当前ADHD诊断的kappa系数为1.00，当前亚型的kappa系数为0.95，过去和当前ODD诊断的kappa系数分别为1.00和0.89（均p < 0.001）。这些结果表明，使用葡萄牙语版K-SADS-E的改编形式对成人ADHD和ODD进行诊断具有高度一致性。
