Kline R B
Department of Psychology, Concordia University, Montreal, Quebec, Canada.
J Abnorm Child Psychol. 1988 Jun;16(3):289-98. doi: 10.1007/BF00913801.
Psychiatric diagnoses and objective parent checklists are alternative ways to describe child adjustment problems. There has recently been interest in evaluating the degree of agreement or convergence between these sources of information. This paper addresses three issues neglected by researchers in this area. The appropriateness of the use of indices of sensitivity and specificity to describe the correspondence of diagnoses and checklist scores is questioned. Implications of failure to consider the reliability of diagnoses in interpreting diagnosis-checklist agreement are discussed. Also, possible parameters of diagnosis-checklist agreement that should be identified by researchers are reviewed. Suggestions for improving research in this area are offered.
精神科诊断和客观的家长检查表是描述儿童适应问题的两种不同方式。最近，人们对评估这些信息来源之间的一致程度或趋同度产生了兴趣。本文探讨了该领域研究人员忽略的三个问题。对使用敏感性和特异性指标来描述诊断与检查表分数之间的对应关系是否恰当提出了质疑。讨论了在解释诊断与检查表一致性时未考虑诊断可靠性的影响。此外，还回顾了研究人员应确定的诊断与检查表一致性的可能参数。并给出了改善该领域研究的建议。
