Weinstein S R, Stone K, Noam G G, Grimes K, Schwab-Stone M
J Am Acad Child Adolesc Psychiatry. 1989 Jan;28(1):53-60. doi: 10.1097/00004583-198901000-00010.
A sample of 163 children and adolescents, consecutively admitted to a large, private psychiatric teaching hospital, was interviewed using the child version of the Diagnostic Interview Schedule for Children (DISC-C). Patients, ages 12 to 16, were interviewed during the first month of admission. Kappa coefficients were obtained from cross-tabulated frequencies of DISC and clinician diagnoses. Agreement between clinical and DISC diagnoses was generally poor across diagnostic categories. In general, when algorithms of a higher threshold were used, the percentage of patients in a particular diagnostic group was closer to the percentage diagnosed by the clinician. Discussion focuses on factors that may contribute to the discrepancy between number and type of diagnoses that the DISC yields compared to those made by the clinicians.
对连续入住一家大型私立精神病教学医院的163名儿童和青少年样本，使用儿童版儿童诊断访谈量表（DISC-C）进行访谈。年龄在12至16岁的患者在入院的第一个月接受访谈。kappa系数通过DISC诊断和临床医生诊断的交叉列表频率获得。在各个诊断类别中，临床诊断和DISC诊断之间的一致性普遍较差。一般来说，当使用较高阈值的算法时，特定诊断组中的患者百分比更接近临床医生诊断的百分比。讨论集中在可能导致DISC得出的诊断数量和类型与临床医生做出的诊断之间存在差异的因素。
