Gutschner Daniel, Völkl-Kernstock Sabine, Perret Aïsha, Doreleijers Theo, Vermeiren Robert, Fegert Jörg M, Schmeck Klaus
Institut für forensische Kinder-und Jugendpsychologie, psychiatrie und-beratung Bern.
Neuropsychiatr. 2011;25(1):26-35.
The aim of this article is to describe the psychometric properties of the German version of the BARO (Basis Raads Onderzoek/ Basic Council Examination), a mental health screening instrument for delinquent adolescents which are referred to juvenile court. The BARO was developed in 1999 by Theo Doreleijers in the Netherlands. The present article reports on a validation study concerning the German BARO. For this study, a sample of 125 Swiss German speaking youth, referred to forensic investigation for having committed an offence, was used. For purposes of validation, besides the BARO, the DIPS (Diagnostic interview for psychiatric disorders) and the SKID II (Structured Clinical Interview for DSM-IV Axis II Personality Disorders) were conducted. A specifically for this goal created questionnaire was filled out by the users, in order to judge the applicability of the BARO. With respect to reliability, both internal consistency, and interrater reliability ranged from good to very good (α = .80 and r= .84). For analysing the validity, a ROC estimation (receiver operator curve) was performed and showed an AUC (area under the curve) of .88 for the presence of a mental health disorder. This result can be considered as very good. An optimal cut-off-point of 16.5 corresponds with a sensitivity of 86% and a specificity of 84%. The applicability of the BARO was rated as satisfying by the mental health professionals who used the instruments. The good psychometric properties and discriminative power of the BARO indicates that it is a useful mental health screening instrument for youth in contact with juvenile justice. Further research should focus on the usefulness in other populations and on the predictive validity for long-term outcome.
本文旨在描述德语版BARO（基础委员会研究/基础委员会考试）的心理测量特性，这是一种针对被送交少年法庭的违法青少年的心理健康筛查工具。BARO由荷兰的西奥·多雷莱耶斯于1999年开发。本文报告了一项关于德语版BARO的验证研究。在这项研究中，使用了125名瑞士德语区因犯罪而接受法医调查的青年样本。为了进行验证，除了BARO之外，还进行了DIPS（精神障碍诊断访谈）和SKID II（DSM-IV轴II人格障碍结构化临床访谈）。使用者填写了一份专门为此目标创建的问卷，以评估BARO的适用性。在信度方面，内部一致性和评分者间信度均从良好到非常好（α = 0.80，r = 0.84）。为了分析效度，进行了ROC估计（接受者操作曲线），结果显示存在心理健康障碍时的AUC（曲线下面积）为0.88。这个结果可以认为是非常好的。最佳临界点为16.5，对应灵敏度为86%，特异度为84%。使用该工具的心理健康专业人员对BARO的适用性评价为令人满意。BARO良好的心理测量特性和鉴别力表明，它是一种用于与少年司法系统有接触的青年的有用心理健康筛查工具。进一步的研究应关注其在其他人群中的有用性以及对长期结果的预测效度。
