Kirkpatrick B, Johnson M S, Earp J A, Fletcher R H
Maryland Psychiatric Research Center, Baltimore.
Psychiatr Med. 1988;6(1):65-71.
At two psychiatric clinics, 76 patients with a history of psychosis were interviewed by a researcher blind to the presence or absence of a chart diagnosis of alcoholism. Another person blind to research diagnosis ascertained the chart diagnosis of alcoholism. The lifetime prevalence of alcoholism, according to a structured research interview, was 45% at a mental health center, and 29% at a teaching hospital clinic. When compared to the lifetime prevalence of alcoholism, as determined by the research interview, chart diagnoses had sensitivities of 21% and 20%, respectively; specificity was 100% at both sites. Psychiatric chart diagnoses are not sensitive indicators of psychiatric patients' alcoholism.
在两家精神病诊所，一名对患者是否有酒精中毒病历诊断不知情的研究人员对76名有精神病病史的患者进行了访谈。另一名对研究诊断不知情的人员确定了酒精中毒的病历诊断。根据结构化研究访谈，一家心理健康中心酒精中毒的终生患病率为45%，一家教学医院诊所为29%。与研究访谈确定的酒精中毒终生患病率相比，病历诊断的敏感性分别为21%和20%；两家机构的特异性均为100%。精神病病历诊断并非精神病患者酒精中毒的敏感指标。
