Þórðarson Ólafur, Ævarsson Friðrik Már, Helgadóttir Sigríður, Lauth Bertrand, Wessman Inga, Sigurjónsdóttir Steinunn Anna, Smárason Orri, Harðardóttir Harpa Hrönn, Skarphedinsson Gudmundur
Reykjavík Municipal Service Centre for Breiðholt, Reykjavík, Iceland.
Child and Adolescent Psychiatric Unit, Akureyri Hospital, Akureyri, Iceland.
Nord J Psychiatry. 2020 Aug;74(6):423-428. doi: 10.1080/08039488.2020.1733660. Epub 2020 Mar 5.
(K-SADS-PL) is a semi-structured interview based on (DSM), and assesses past and present symptoms in children aged 6-18 years old. It has been translated into more than 20 languages and is widely used in clinical work. The K-SADS-PL has recently been revised by adopting new DSM-5 disorders and modifying probes accordingly. However, research on this revision is critically limited. The objective of this study was to examine the inter-rater reliability of the DSM-5 K-SADS-PL when administered by postgraduate students after receiving thorough training and supervision.
The DSM-5 K-SADS-PL was applied in a clinical sample of two outpatient units: The outpatient unit of the Department of Child and Adolescent Psychiatry at the Landspítali University Hospital in Reykjavík, Iceland and The Icelandic Anxiety Centre for Children, Adolescents and Young Adults.
Fourty-one (80%) consecutive patients aged 6-18 years consented and were included. Cohen's κ was calculated to estimate inter-rater reliability, with estimates ranging from fair to excellent (κ = 0.57-0.90), with most diagnoses in the excellent range (κ > 0.75).
These results indicate that the Icelandic translation of the DSM-5 K-SADS-PL can be reliably administered by postgraduate students.
儿童版情感障碍及精神分裂症问卷(K-SADS-PL)是一种基于《精神疾病诊断与统计手册》(DSM)的半结构化访谈,用于评估6至18岁儿童过去和现在的症状。它已被翻译成20多种语言,在临床工作中广泛使用。K-SADS-PL最近进行了修订,采用了新的DSM-5疾病分类并相应地修改了询问方式。然而,关于此次修订的研究非常有限。本研究的目的是检验在经过全面培训和监督后,由研究生使用的DSM-5 K-SADS-PL的评分者间信度。
DSM-5 K-SADS-PL应用于两个门诊单位的临床样本:冰岛雷克雅未克兰斯皮塔利大学医院儿童与青少年精神病科门诊以及冰岛儿童、青少年和青年焦虑症中心。
41名(80%)6至18岁的连续患者同意参与并被纳入研究。计算科恩kappa系数以估计评分者间信度,估计值范围从一般到优秀(κ = 0.57 - 0.90),大多数诊断处于优秀范围(κ > 0.75)。
这些结果表明,研究生能够可靠地使用DSM-5 K-SADS-PL的冰岛语译本。