Alavi Seyyed Salman, Mohammadi Mohammad Reza, Jannatifard Fereshteh, Mohammadi Kalhori Soroush, Sepahbodi Ghazal, BabaReisi Mohammad, Sajedi Sahar, Farshchi Mojtaba, KhodaKarami Rasul, Hatami Kasvaee Vahid
Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Young Researchers and Elite Club, Roudehen Branch, Islamic Azad University, Roudehen, Iran.
Iran J Psychiatry. 2016 Apr;11(2):115-9.
The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) classified mobile phone addiction disorder under "impulse control disorder not elsewhere classified". This study surveyed the diagnostic criteria of DSM-IV-TR for the diagnosis of mobile phone addiction in correspondence with Iranian society and culture.
Two hundred fifty students of Tehran universities were entered into this descriptive-analytical and cross-sectional study. Quota sampling method was used. At first, semi- structured clinical interview (based on DSM-IV-TR) was performed for all the cases, and another specialist reevaluated the interviews. Data were analyzed using content validity, inter-scorer reliability (Kappa coefficient) and test-retest via SPSS18 software.
The content validity of the semi- structured clinical interview matched the DSM-IV-TR criteria for behavioral addiction. Moreover, their content was appropriate, and two items, including "SMS pathological use" and "High monthly cost of using the mobile phone" were added to promote its validity. Internal reliability (Kappa) and test-retest reliability were 0.55 and r = 0.4 (p<0. 01) respectively.
The results of this study revealed that semi- structured diagnostic criteria of DSM-IV-TR are valid and reliable for diagnosing mobile phone addiction, and this instrument is an effective tool to diagnose this disorder.
《精神疾病诊断与统计手册（第四版，修订版）》（DSM-IV-TR）将手机成瘾障碍归类于“未在他处归类的冲动控制障碍”。本研究调查了DSM-IV-TR中与伊朗社会和文化相符的手机成瘾诊断标准。
250名德黑兰大学的学生参与了这项描述性分析横断面研究。采用配额抽样方法选取样本。首先，对所有病例进行基于DSM-IV-TR的半结构化临床访谈，另一位专家对访谈进行重新评估。使用SPSS18软件对数据进行内容效度、评分者间信度（卡帕系数）和重测分析。
半结构化临床访谈的内容效度符合DSM-IV-TR中行为成瘾的标准。此外，其内容恰当，并增加了“短信病理性使用”和“手机月使用费用高”两项以提高效度系数。内部信度（卡帕系数）和重测信度分别为0.55和r = 0.4（p<0.01）
本研究结果表明，DSM-IV-TR的半结构化诊断标准在诊断手机成瘾方面有效且可靠，该工具是诊断此障碍的有效手段。
