Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament. Departament de Psicologia Clínica i de la Salut. Universitat Autònoma de Barcelona, Bellaterra (Barcelona), Spain.
Psychiatry Res. 2011 Nov 30;190(1):137-44. doi: 10.1016/j.psychres.2011.04.034. Epub 2011 May 26.
There is a need for reliable and well-validated diagnostic measures for studying psychopathology in preschool and young children. The goal is to study the psychometric properties of the Diagnostic Interview for Children and Adolescents for Parents of Preschool and Young Children (DICA-PPYC) in the general population. A sample of 852 Spanish school children, aged 3 to 7 years, were randomly selected and screened for a double phase design. A total of 251 families were interviewed with the DICA-PPYC and 244 participated in a test-retest design. Different measures of psychopathology and functional impairment were also administered. Test-retest agreement with a mean interval of 8.8 days ranged from excellent to slight (kappa from 1 to 0.39) for DSM-IV-TR and from good to fair (kappa from 0.77 to 0.49) for Research Diagnostic Criteria-Preschool Age diagnoses. Attenuation between test and retest was not significant for the prevalence of diagnoses, although it was significant for the number of externalising and total symptoms in the interview. The diagnoses converged moderately with the CBCL and Dominic scores. The presence of diagnoses in the DICA-PPYC significantly differentiated preschoolers and young children who had used mental health services, were more impaired, and presented more severe psychopathology measured by dimensional scales. The DICA-PPYC is a reliable and valid semi-structured interview schedule for preschool and young children, and can serve to advance the knowledge and mental health care of this population.
需要可靠且经过良好验证的诊断措施来研究学龄前和幼儿的精神病理学。目标是研究用于学龄前和幼儿的父母的儿童和青少年诊断访谈 (DICA-PPYC) 在普通人群中的心理测量特性。随机选择了 852 名西班牙学龄儿童作为样本，年龄在 3 至 7 岁之间，并进行了双阶段筛选。共有 251 个家庭接受了 DICA-PPYC 的访谈，其中 244 个家庭参与了测试 - 重测设计。还进行了不同的精神病理学和功能障碍测量。重测与平均间隔 8.8 天的测试 - 重测一致性范围从极好到轻微（kappa 值从 1 到 0.39），适用于 DSM-IV-TR 诊断标准，从良好到公平（kappa 值从 0.77 到 0.49）适用于研究诊断标准 - 学龄前诊断。尽管诊断的数量在访谈中的外部症状和总症状方面存在显著差异，但测试和重测之间的衰减对诊断的患病率并不显著。诊断与 CBCL 和多米尼克分数中度一致。DICA-PPYC 中诊断的存在可显著区分使用心理健康服务的学龄前儿童和幼儿，他们的功能障碍更严重，并且通过维度量表测量的精神病理学更严重。DICA-PPYC 是一种可靠且有效的用于学龄前和幼儿的半结构式访谈时间表，可以为该人群的知识和心理健康护理提供帮助。
