Ung Danielle, Arnold Elysse B, De Nadai Alessandro S, Lewin Adam B, Phares Vicky, Murphy Tanya K, Storch Eric A
University of South Florida, Tampa, FL, USA.
University of South Florida, St. Petersburg, FL, USA.
J Dev Phys Disabil. 2014 Feb 1;26(1):53-65. doi: 10.1007/s10882-013-9343-3.
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.
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。