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儿童和青少年急性应激障碍的诊断访谈。

A diagnostic interview for acute stress disorder for children and adolescents.

机构信息

Department of Psychiatry, Children's Hospital Boston, Boston, MA 02115, USA.

出版信息

J Trauma Stress. 2009 Dec;22(6):549-56. doi: 10.1002/jts.20471.

Abstract

The goal of this study was to develop a semistructured clinical interview for assessing acute stress disorder (ASD) in youth and test its psychometric properties. Youth (N = 168) with an acute burn or injury were administered the acute stress disorder module of the Diagnostic Interview for Children and Adolescents (DICA-ASD). The DICA-ASD demonstrated strong psychometric properties, including high internal consistency (alpha = .97) and perfect diagnostic interrater agreement (kappa = 1.00). Participants diagnosed with ASD scored significantly higher than those not diagnosed on validated traumatic stress symptomatology measures but not on other symptomatology measures, providing evidence of convergent and discriminant validity. Preliminary evidence supports the reliability and validity of the first semistructured clinical interview for diagnosing ASD in youth.

摘要

本研究旨在开发一种半结构化临床访谈工具,用于评估青少年的急性应激障碍(ASD),并检验其心理测量学特性。对 168 名急性烧伤或创伤的青少年施测儿童诊断性访谈量表-急性应激障碍模块(DICA-ASD)。DICA-ASD 表现出良好的心理测量学特性,包括高内部一致性(alpha =.97)和完美的诊断者间一致性(kappa = 1.00)。被诊断为 ASD 的参与者在验证过的创伤后应激症状量表上的得分显著高于未被诊断为 ASD 的参与者,而在其他症状量表上的得分则没有显著差异,这提供了同时具有聚合效度和区分效度的证据。初步证据支持了第一个用于诊断青少年 ASD 的半结构化临床访谈的可靠性和有效性。

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Arch Gen Psychiatry. 2007 May;64(5):577-84. doi: 10.1001/archpsyc.64.5.577.
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Predictive validity in a prospective follow-up of PTSD in preschool children.
J Am Acad Child Adolesc Psychiatry. 2005 Sep;44(9):899-906. doi: 10.1097/01.chi.0000169013.81536.71.
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Ten-year review of rating scales. IV: scales assessing trauma and its effects.评定量表十年回顾。IV:评估创伤及其影响的量表。
J Am Acad Child Adolesc Psychiatry. 2002 Dec;41(12):1401-22. doi: 10.1097/00004583-200212000-00012.

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