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《精神疾病诊断与统计手册》第三版修订本轴II结构化临床访谈的评分者间信度:精神分裂症谱系及情感谱系障碍

Interrater reliability of the Structured Clinical Interview for DSM-III-R, Axis II: schizophrenia spectrum and affective spectrum disorders.

作者信息

Fogelson D L, Nuechterlein K H, Asarnow R F, Subotnik K L, Talovic S A

机构信息

Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles 90024-6968.

出版信息

Psychiatry Res. 1991 Oct;39(1):55-63. doi: 10.1016/0165-1781(91)90008-d.

DOI:10.1016/0165-1781(91)90008-d
PMID:1771209
Abstract

Three interviewers (second raters) blindly rated 15 audiotapes each of the Structured Clinical Interview for DSM-III-R, Axis II (SCID-II) administered to the first degree relatives of probands with either DSM-III-R schizophrenia, schizoaffective disorder, or bipolar disorder, for a total of 45 second ratings. Interrater reliability was determined using the intraclass correlation coefficient and ranged from 0.60 to 0.84. The previous studies of the reliability of structured interviews for diagnosing personality disorders are summarized and compared to the present findings. We conclude that the SCID-II can be reliably used to diagnose schizophrenia-spectrum and affective spectrum disorders in the first degree family members of probands with schizophrenic or bipolar affective disorders.

摘要

三名面试官(二级评分员)对15份录音带进行了盲评,这些录音带是对患有DSM-III-R精神分裂症、分裂情感性障碍或双相情感障碍的先证者的一级亲属进行的DSM-III-R轴II结构化临床访谈(SCID-II),共计45次二级评分。使用组内相关系数确定评分者间信度,范围为0.60至0.84。总结了以往关于诊断人格障碍的结构化访谈信度的研究,并与当前研究结果进行了比较。我们得出结论,SCID-II可可靠地用于诊断患有精神分裂症或双相情感障碍的先证者的一级家庭成员中的精神分裂症谱系和情感谱系障碍。

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