根据国际疾病分类第10版（ICD - 10）、精神疾病诊断与统计手册第4版（DSM - IV）和第5版（DSM - 5），酒精和药物使用障碍识别测试（ADDIS）用于诊断物质使用障碍的可靠性：重测信度和项目间一致性。
Reliability of ADDIS for diagnoses of substance use disorders according to ICD-10, DSM-IV and DSM-5: test-retest and inter-item consistency.
作者信息
Gerdner Arne, Wickström Lynn
机构信息
Jönköping University, School of Health Sciences, P.O. Box 1026, SE 55111, Jönköping, Sweden.
出版信息
Subst Abuse Treat Prev Policy. 2015 Apr 2;10:14. doi: 10.1186/s13011-015-0008-3.
BACKGROUND
This study investigates test-retest and inter-item consistency of Alcohol Drog Diagnos InStrument (ADDIS), a structured interview to diagnose substance use disorders according to ICD-10, DSM-IV and DSM-5. ADDIS, the Swedish version of SUDDS, is the only instrument in Swedish that produces diagnostic proposals specific to all drug categories, and for all three diagnostic systems. Screening of stressful life events, anxiety, and depression is also included.
METHODS
Thirty patients at addiction treatment facilities were interviewed for diagnostic assessment and re-interviewed after one week.
RESULTS
ADDIS has excellent internal consistency. There is also very high test-retest correlation on number of fulfilled criteria for all diagnostic systems. Agreement of diagnostic proposals is substantial, mean absolute agreement is excellent, and mean systematic correlation is almost perfect.
CONCLUSION
ADDIS is a reliable tool for specific diagnostic assessment of SUDs.
背景
本研究调查了酒精与药物诊断工具（ADDIS）的重测信度和项目间一致性，ADDIS是一种根据国际疾病分类第10版（ICD - 10）、精神疾病诊断与统计手册第4版（DSM - IV）和第5版（DSM - 5）诊断物质使用障碍的结构化访谈工具。ADDIS是瑞典版的药物使用障碍诊断结构访谈表（SUDDS），是瑞典唯一一种能针对所有药物类别以及所有三种诊断系统生成特定诊断建议的工具。该工具还包括对压力性生活事件、焦虑和抑郁的筛查。
方法
对30名成瘾治疗机构的患者进行诊断评估访谈，并在一周后进行再次访谈。
结果
ADDIS具有出色的内部一致性。所有诊断系统在满足标准数量方面的重测相关性也非常高。诊断建议的一致性很高，平均绝对一致性良好，平均系统相关性几乎完美。
结论
ADDIS是一种用于物质使用障碍特定诊断评估的可靠工具。
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