Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, Portugal; Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), University of Coimbra, Portugal.
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, Portugal; Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), University of Coimbra, Portugal; Portucalence Institute for Human Development, Oporto Global University, Portugal.
Psychiatry Res. 2019 Feb;272:723-729. doi: 10.1016/j.psychres.2018.12.176. Epub 2019 Jan 2.
Given the recent treatment paradigm shift in psychosis, focusing on the recovery process, new assessment tools are needed. The Clinical Interview for Psychotic Disorders (CIPD) is an integrative and comprehensive assessment tool for psychotic disorders. CIPD encompasses the evaluation of diagnosis, psychosocial correlates and most relevant comorbidities. The study's aims were to examine CIPD inter-rater reliability, the relationships between CIPD and other instruments assessing positive and negative symptoms and functionality, and to explore participants' qualitative feedback. The sample included 30 individuals with psychotic disorders, aged between 18 and 62 years old. Two experts in clinical psychology conducted the interviews and independently rated other assessment tools (PANSS, GAF and PSP) to determine severity of psychotic symptoms and levels of functionality. Results indicated high inter-rater reliability for the majority of CIPD items and agreement regarding diagnosis was between 73% and 93%. Moreover, positive and moderate to strong correlations were found between CIPD, PANSS, GAF and PSP. From the qualitative analysis five themes emerged, namely: CIPD applicability and utility, comparison with previous interviews, interviewer aspects, negative and positive aspects. Overall, these preliminary results suggest that CIPD is a reliable and valid assessment instrument that seems to be well suited for people with psychosis.
鉴于精神疾病治疗范式的转变，注重康复过程，需要新的评估工具。《精神病学临床访谈》（CIPD）是一种用于评估精神疾病的综合全面的评估工具。CIPD 涵盖了对诊断、心理社会相关因素和最相关合并症的评估。本研究旨在检验 CIPD 的评分者间信度、CIPD 与其他评估阳性和阴性症状及功能的工具之间的关系，并探索参与者的定性反馈。样本包括 30 名年龄在 18 至 62 岁之间的精神疾病患者。两名临床心理学专家进行了访谈，并分别对其他评估工具（PANSS、GAF 和 PSP）进行评分，以确定精神症状的严重程度和功能水平。结果表明，大多数 CIPD 项目的评分者间信度较高，诊断的一致性在 73%至 93%之间。此外，CIPD、PANSS、GAF 和 PSP 之间存在正相关和中等到强相关。从定性分析中出现了五个主题，即：CIPD 的适用性和实用性、与之前访谈的比较、访谈者方面、消极方面和积极方面。总体而言，这些初步结果表明，CIPD 是一种可靠且有效的评估工具，似乎非常适合患有精神疾病的人群。
