Helzer J E, Robins L N, Taibleson M, Woodruff R A, Reich T, Wish E D
Arch Gen Psychiatry. 1977 Feb;34(2):129-33. doi: 10.1001/archpsyc.1977.01770140019001.
This article reviews some methodological aspects of studies of diagnostic reliability in psychiatry. We define and discuss the concept of interrater reliability and review some of the ways in which the design of the reliability study can influence the results. Three basic methodological issues are raised, including: importance of structured interviews and objective diagnostic criteria, the importance of a test/retest vs an interviewer/observer design, and the calculation of reliability in a way that takes chance agreement into account.
本文回顾了精神病学诊断可靠性研究的一些方法学方面。我们定义并讨论了评分者间信度的概念，并回顾了可靠性研究设计可能影响结果的一些方式。提出了三个基本的方法学问题，包括：结构化访谈和客观诊断标准的重要性、重测设计与访谈者/观察者设计的重要性，以及以考虑机遇一致性的方式计算信度。
