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DSM-IV 解离障碍定式临床访谈土耳其语版的信度和效度:一项初步研究。

Reliability and validity of the Turkish version of the Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D): a preliminary study.

机构信息

a Psychiatrist in Private Practice , Istanbul , Turkey.

出版信息

J Trauma Dissociation. 2014;15(1):24-34. doi: 10.1080/15299732.2013.821434.

Abstract

A total of 34 consecutive patients with dissociative identity disorder or dissociative disorder not otherwise specified were evaluated using the Turkish version of the Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D). They were compared with a matched control group composed of 34 patients who had a nondissociative psychiatric disorder. Interrater reliability was evaluated by 3 clinicians who assessed videotaped interviews conducted with 5 dissociative and 5 nondissociative patients. All subjects who were previously diagnosed by clinicians as having a dissociative disorder were identified as positive, and all subjects who were previously diagnosed as not having a dissociative disorder were identified as negative. The scores of the main symptom clusters and the total score of the SCID-D differentiated dissociative patients from the nondissociative group. There were strong correlations between the SCID-D and the Dissociative Experiences Scale total and subscale scores. These results are promising for the validity and reliability of the Turkish version of the SCID-D. However, as the present study was conducted on a predominantly female sample with very severe dissociation, these findings should not be generalized to male patients, to dissociative disorders other than dissociative identity disorder, or to broader clinical or nonclinical populations.

摘要

共有 34 例分离性身份障碍或未特定的分离性障碍患者接受了 DSM-IV 分离性障碍的土耳其语版结构临床访谈 (SCID-D) 的评估。他们与由 34 例非分离性精神障碍患者组成的匹配对照组进行了比较。由 3 位评估者对与 5 例分离性和 5 例非分离性患者进行的录像访谈进行了评估,以评估评定者间的可靠性。所有之前被临床医生诊断为分离性障碍的患者被确定为阳性,所有之前被诊断为无分离性障碍的患者被确定为阴性。SCID-D 的主要症状群评分和总分可区分分离性患者和非分离性组。SCID-D 与分离体验量表总分和分量表评分之间存在很强的相关性。这些结果表明 SCID-D 的土耳其语版本具有良好的有效性和可靠性。然而,由于本研究主要在女性样本中进行,且分离程度非常严重,因此这些发现不应推广到男性患者、除分离性身份障碍以外的分离性障碍,或更广泛的临床或非临床人群。

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