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《精神疾病诊断与统计手册》第五版网络游戏障碍结构化临床访谈:青少年网络游戏障碍诊断的开发与验证

The Structured Clinical Interview for DSM-5 Internet Gaming Disorder: Development and Validation for Diagnosing IGD in Adolescents.

作者信息

Koo Hoon Jung, Han Doug Hyun, Park Sung-Yong, Kwon Jung-Hye

机构信息

College of Psychology and Child, Hanshin University, Osan, Republic of Korea.

Department of Psychiatry, Chung-Ang University Hospital, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2017 Jan;14(1):21-29. doi: 10.4306/pi.2017.14.1.21. Epub 2016 Dec 29.

Abstract

OBJECTIVE

This study aimed to develop and validate a Structured Clinical Interview for Internet Gaming Disorder (SCI-IGD) in adolescents.

METHODS

First, we generated preliminary items of the SCI-IGD based on the information from the DSM-5 literature reviews and expert consultations. Next, a total of 236 adolescents, from both community and clinical settings, were recruited to evaluate the psychometric properties of the SCI-IGD.

RESULTS

First, the SCI-IGD was found to be consistent over the time period of about one month. Second, diagnostic concordances between the SCI-IGD and clinician's diagnostic impression were good to excellent. The Likelihood Ratio Positive and the Likelihood Ratio Negative estimates for the diagnosis of SCI-IGD were 10.93 and 0.35, respectively, indicating that SCI-IGD was 'very useful test' for identifying the presence of IGD and 'useful test' for identifying the absence of IGD. Third, SCI-IGD could identify disordered gamers from non-disordered gamers.

CONCLUSION

The implications and limitations of the study are also discussed.

摘要

目的

本研究旨在开发并验证一种针对青少年网络游戏障碍的结构化临床访谈(SCI-IGD)。

方法

首先,我们基于《精神疾病诊断与统计手册》第5版的文献综述和专家咨询信息,生成了SCI-IGD的初步条目。接下来,共招募了236名来自社区和临床环境的青少年,以评估SCI-IGD的心理测量特性。

结果

首先,发现SCI-IGD在大约一个月的时间段内具有一致性。其次,SCI-IGD与临床医生诊断印象之间的诊断一致性良好至优秀。诊断SCI-IGD的阳性似然比和阴性似然比估计值分别为10.93和0.35,表明SCI-IGD是识别网络游戏障碍存在的“非常有用的测试”,以及识别不存在网络游戏障碍的“有用测试”。第三,SCI-IGD能够区分有游戏障碍的玩家和无游戏障碍的玩家。

结论

本研究的意义和局限性也进行了讨论。

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