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简短临床访谈用于精神科诊断的有效性:MINI-SCAN。

Validity of a short clinical interview for psychiatric diagnosis: the mini-SCAN.

机构信息

University Medical Centre Groningen, Department of Psychiatry, P.O. Box 30.01, 9700 RB Groningen, The Netherlands.

出版信息

Br J Psychiatry. 2010 Jan;196(1):64-8. doi: 10.1192/bjp.bp.109.066563.

DOI:10.1192/bjp.bp.109.066563
PMID:20044664
Abstract

BACKGROUND

To promote clinical application of the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) system a shorter version (the mini-SCAN) was devised. Its psychometric properties were unknown.

AIMS

To establish the validity and practical properties of the mini-SCAN.

METHOD

One hundred and six participants were interviewed twice, once with the SCAN and once with the mini-SCAN. The level of agreement was established for the categories: no disorder, affective disorders, anxiety disorders, non-affective psychotic disorders, affective psychotic disorders.

RESULTS

The mini-SCAN is a valid instrument. Most kappa values were around 0.90. Only for the class of affective psychotic disorders was the agreement moderate. Mean duration of the mini-SCAN interviews was 25 min shorter than the SCAN interviews. Participants and interviewers were generally satisfied with the interview format and questions.

CONCLUSIONS

The mini-SCAN can be used as a diagnostic instrument for clinical purposes and for clinical studies when the present episode is the focus of attention.

摘要

背景

为了促进精神科临床评估表(SCAN)系统的临床应用,设计了一个更简短的版本(迷你-SCAN)。但其心理测量特性尚不清楚。

目的

确定迷你-SCAN 的有效性和实际特性。

方法

106 名参与者接受了两次访谈,一次使用 SCAN,一次使用迷你-SCAN。为以下类别建立了一致性:无障碍、情感障碍、焦虑障碍、非情感性精神病障碍、情感性精神病障碍。

结果

迷你-SCAN 是一种有效的工具。大多数kappa 值在 0.90 左右。只有情感性精神病障碍这一类别具有中度一致性。迷你-SCAN 访谈的平均持续时间比 SCAN 访谈短 25 分钟。参与者和访谈者普遍对访谈格式和问题感到满意。

结论

当当前发作是关注焦点时,迷你-SCAN 可用于临床目的和临床研究的诊断工具。

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