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《精神疾病诊断与统计手册》第四版中焦虑症访谈量表在高功能自闭症谱系障碍青少年中的评分者间信度

Inter-rater Reliability of the Anxiety Disorders Interview Schedule for DSM-IV in High-Functioning Youth with Autism Spectrum Disorder.

作者信息

Ung Danielle, Arnold Elysse B, De Nadai Alessandro S, Lewin Adam B, Phares Vicky, Murphy Tanya K, Storch Eric A

机构信息

University of South Florida, Tampa, FL, USA.

University of South Florida, St. Petersburg, FL, USA.

出版信息

J Dev Phys Disabil. 2014 Feb 1;26(1):53-65. doi: 10.1007/s10882-013-9343-3.

Abstract

The present study examined inter-rater agreement on the Anxiety Disorder Interview Schedule DSM-IV Child and Parent Interview (ADIS-IV-C/P) in high-functioning youth with autism spectrum disorder and if age and ASD diagnosis moderated agreement. Diagnoses established for 70 7 to 16-year-old youth with ASD during a live administration of the ADIS-IV-C/P were compared to diagnoses identified by a second rater after listening to audiotaped recordings of the interviews. Clinician-to-clinician agreement on individual parent and child reports was excellent (=1.00). Inter-rater agreement on principal diagnoses (=0.91), individual anxiety diagnoses (=0.85-0.97), and other comorbid diagnoses (i.e., major depressive disorder, dysthymia, oppositional defiant disorder) (=0.89-1.00) were excellent; agreement did not differ as a function of ASD diagnosis or age. Results suggest good to excellent inter-rater agreement for disorders assessed by the ADIS-IV-C/P.

摘要

本研究考察了在使用《焦虑症访谈量表第四版:儿童与父母访谈》(ADIS-IV-C/P)对高功能自闭症谱系障碍青少年进行评估时,评分者间的一致性,以及年龄和自闭症谱系障碍诊断是否会调节这种一致性。将在现场施测ADIS-IV-C/P期间为70名7至16岁自闭症谱系障碍青少年确立的诊断,与第二名评分者在听取访谈录音后确定的诊断进行比较。临床医生之间在个体父母和儿童报告上的一致性非常好(=1.00)。评分者间在主要诊断(=0.91)、个体焦虑症诊断(=0.85 - 0.97)以及其他共病诊断(即重度抑郁症、心境恶劣障碍、对立违抗障碍)(=0.89 - 1.00)上的一致性非常好;一致性不会因自闭症谱系障碍诊断或年龄的不同而有所差异。结果表明,对于通过ADIS-IV-C/P评估的疾病,评分者间的一致性良好至非常好。

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