Vollmer-Larsen Anne, Handest Peter, Parnas Josef
Danish National Research Foundation, Centre for Subjectivity Research, University of Copenhagen, Copenhagen, Denmark.
Psychopathology. 2007;40(5):345-8. doi: 10.1159/000106311. Epub 2007 Jul 24.
Studying subjective experience, apart from preformed self-rating questionnaires, has nearly vanished in psychiatry, partly due to reliability concerns. Recent research in early detection of schizophrenia has entailed an increasing interest in the subtle experiential anomalies that may assist in identifying the patients at risk of psychosis. Some of these anomalies are described in the Bonn Scale for the Assessment of Basic Symptoms (BSABS). We examined the reliability of this instrument.
18 hospitalised patients accepted to participate in a psychopathological interview assessing BSABS items, affective and psychotic symptoms.
Out of the total 79 BSABSitems examined,we found an interrater reliability kappa >0.60 in 68 items (86%).
Good reliability can be achieved using BSABS.
除了预先设计好的自评问卷外,对主观体验的研究在精神病学领域几乎已经消失,部分原因是对可靠性的担忧。近期关于精神分裂症早期检测的研究越来越关注那些可能有助于识别有精神病风险患者的细微体验异常。其中一些异常在《波恩基本症状评估量表》(BSABS)中有描述。我们检验了该量表的可靠性。
18名住院患者同意参与一项评估BSABS项目、情感和精神病症状的精神病理学访谈。
在总共79项BSABS项目中,我们发现68项(86%)的评分者间信度kappa>0.60。
使用BSABS可获得良好的信度。