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[改良精神病学访谈:可靠性研究]

[The modified psychiatric interview: a study of reliability].

作者信息

Sánchez-Báez J J, Gómez-Espinosa M, Padilla-Galina P

出版信息

Salud Publica Mex. 1989 Jul-Aug;31(4):519-29.

PMID:2588070
Abstract

In order to estimate the prevalence of mental disorders in epidemiologic studies in the community, our department has designed the Modified Psychiatric Interview (MPI), a semi-structured interview derived from the Standardized Psychiatric Interview by Goldberg et al. This instrument confirms the presence of "psychiatric cases" and is applied by interviewers with clinical experience. The purpose of this article is to evaluate the degree of agreement between clinical interviewers (using an interviewer-observer design), utilizing MPI in an out-patient population attending a general hospital, as part of an investigation on prevalence of mental disorders at a 2nd. level of medical care. The degree of agreement was calculated in the different sections of the instrument by Pearson's product-moment correlation, Kappa statistic and Yule's "Y" coefficient. The results showed a high level of reliability among the clinical interviewers in each section of the MPI.

摘要

为了在社区流行病学研究中估计精神障碍的患病率,我们部门设计了改良精神病访谈(MPI),这是一种源自戈德堡等人的标准化精神病访谈的半结构化访谈。该工具可确认“精神病病例”的存在,并由具有临床经验的访谈者应用。本文的目的是评估临床访谈者之间(采用访谈者-观察者设计)在一家综合医院门诊人群中使用MPI时的一致程度,这是二级医疗保健中精神障碍患病率调查的一部分。通过皮尔逊积差相关、卡方统计和尤尔“Y”系数计算该工具不同部分的一致程度。结果显示,MPI各部分的临床访谈者之间具有高度可靠性。

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