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一种分类诊断访谈的维度分析:《精神疾病诊断访谈量表第四版》(DICA-IV)

Dimensional analysis of a categorical diagnostic interview: the DICA-IV.

作者信息

Sala Roser, Granero Rosario, Ezpeleta Lourdes

机构信息

Facultad de Psicología, University Autónoma de Barcelona, Spain.

出版信息

Psicothema. 2006 Feb;18(1):123-9.

Abstract

The aim of this study is to obtain dimensions from a categorical diagnostic interview. 512 children aged 8 to 17 attending public centers for children's mental health and presenting some form of psychological disorder were interviewed with the "Diagnostic Interview for Children and Adolescents" (DICA-IV). Analysis of the principal components indicate that a two-dimensional model (externalizing-internalizing) satisfactorily explain the data collected from the children and their parents. The data from the adolescents are better represented by a three-dimensional model (attention problems-internalizing-antisocial behavior). The factor scales show good internal consistency and significantly relate to other criteria of psychopathology and incapacity (concurrent validity). These results show that it is possible to use DICA-IV to obtain categorical and dimensional indicators simultaneously. The latter are particularly sensitive for measuring changes over the course of disorders.

摘要

本研究的目的是从分类诊断访谈中获取维度数据。对512名年龄在8至17岁、在儿童心理健康公共中心就诊且表现出某种形式心理障碍的儿童,采用《儿童与青少年诊断访谈》(DICA-IV)进行访谈。主成分分析表明,二维模型(外化-内化)能够令人满意地解释从儿童及其父母那里收集到的数据。青少年的数据用三维模型(注意力问题-内化-反社会行为)能得到更好的呈现。因子量表显示出良好的内部一致性,并且与精神病理学和功能丧失的其他标准显著相关(同时效度)。这些结果表明,使用DICA-IV可以同时获得分类指标和维度指标。后者在测量疾病过程中的变化时特别敏感。

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