Suppiger Andrea, In-Albon Tina, Hendriksen Stephanie, Hermann Ernst, Margraf Jürgen, Schneider Silvia
University of Basel, Switzerland.
Behav Ther. 2009 Sep;40(3):272-9. doi: 10.1016/j.beth.2008.07.002. Epub 2008 Nov 5.
The objective of this study was to investigate the acceptance of structured diagnostic interviews in clinical practice, as well as research, settings. Using the Diagnostisches Interview bei Psychischen Störungen (the modified and extended German version of the Anxiety Disorders Interview Schedule for DSM-IV), 10 certified interviewers conducted 183 structured interviews in different inpatient, outpatient, and research settings in Switzerland and Germany. After each interview, patients and interviewers filled out a questionnaire asking for their evaluation of the interview. Patients' and interviewers' reactions to the interview were highly positive. On a scale measuring overall satisfaction with the interview (0=not at all satisfied, 100=totally satisfied) the mean patient rating was 86.55 (SD=13.18), and the mean interviewer rating was 85.82 (SD=12.84). The procedure used by the interviewer was rated by 142 (78.5%) patients as being helpful, and 176 (96.7%) rated the relationship as being positive. Less than 16% of the interviews were described as exhausting by the patients and interviewers. A majority of the interviewers (92.6%) indicated that during the interview they could respond adequately to the patient. The results of this study indicate that structured diagnostic interviews are highly accepted by interviewers and patients in a variety of settings. These findings, together with the existing evidence of the reliability and validity of structured interviews, should encourage their use in the diagnostic process, in outpatient and inpatient clinical settings as well as in research studies.
本研究的目的是调查结构化诊断访谈在临床实践以及研究环境中的接受程度。使用《精神障碍诊断访谈》（DSM-IV焦虑症访谈量表的德语修订扩展版），10名经过认证的访谈者在瑞士和德国的不同住院、门诊和研究环境中进行了183次结构化访谈。每次访谈后，患者和访谈者填写一份问卷，询问他们对访谈的评价。患者和访谈者对访谈的反应非常积极。在一个衡量对访谈总体满意度的量表上（0=完全不满意，100=完全满意），患者的平均评分是86.55（标准差=13.18），访谈者的平均评分是85.82（标准差=12.84）。142名（78.5%）患者认为访谈者使用的程序有帮助，176名（96.7%）患者认为关系积极。不到16%的访谈被患者和访谈者描述为令人疲惫。大多数访谈者（92.6%）表示，在访谈过程中他们能够充分回应患者。本研究结果表明，结构化诊断访谈在各种环境中都受到访谈者和患者的高度接受。这些发现，连同结构化访谈可靠性和有效性的现有证据，应鼓励在诊断过程、门诊和住院临床环境以及研究中使用它们。
