Reeves Katie, Charter Ella, Ford Tamsin
Child Mental Health Department, University of Exeter Medical School, 009 Veysey Building, Salmon Pool Lane, Exeter, EX2 4SG, UK.
Child Adolesc Ment Health. 2016 Feb;21(1):51-63. doi: 10.1111/camh.12089. Epub 2015 Mar 11.
A standardised diagnostic assessment (SDA) is a comprehensive assessment of psychiatric disorder that provides a label according to established diagnostic criteria. While standardised assessments are considered essential in child and adolescent mental health research, they are rarely applied systematically in routine clinical practice.
A systematic review of studies that assessed the utility, feasibility and acceptability of SDAs in the assessment of psychopathology among children and young people in routine clinical practice.
Eight papers were identified that applied mixed research methods. Overall, attitudes towards SDAs were positive, with lack of training in administration and interpretation of SDAs and a concern for the validity of diagnostic categories being key barriers. Two randomised control trials and a case series suggest that SDAs might aid the detection of emotional disorders in particular.
The current evidence is not yet sufficient to recommend that SDAs should be universally adopted as an adjunct to clinical practice, but our findings suggest that can they be used if applied cautiously and mindfully pending further evaluation.
标准化诊断评估（SDA）是对精神障碍的全面评估，它根据既定的诊断标准给出一个诊断标签。虽然标准化评估在儿童和青少年心理健康研究中被认为是必不可少的，但在常规临床实践中却很少被系统地应用。
对评估标准化诊断评估在常规临床实践中对儿童和青少年心理病理学评估的效用、可行性和可接受性的研究进行系统综述。
确定了八篇采用混合研究方法的论文。总体而言，对标准化诊断评估的态度是积极的，缺乏标准化诊断评估管理和解释方面的培训以及对诊断类别的有效性的担忧是关键障碍。两项随机对照试验和一个病例系列表明，标准化诊断评估可能尤其有助于情感障碍的检测。
目前的证据尚不足以建议将标准化诊断评估普遍用作临床实践的辅助手段，但我们的研究结果表明，如果谨慎且审慎地应用，在进一步评估之前可以使用。
