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钻石儿童:一种针对儿童和青少年焦虑、情绪、强迫及相关障碍的结构化诊断访谈的心理测量特性。

The DIAMOND-KID: Psychometric Properties of a Structured Diagnostic Interview for Anxiety, Mood, and Obsessive-Compulsive and Related Disorders in Children and Adolescents.

作者信息

Tolin David F, Sain Kimberly S, Davis Elizabeth, Gilliam Christina, Hannan Scott E, Springer Kristen S, Stubbing Jessica, George Jamilah R, Jean Anishka, Goldblum Rachel, Katz Benjamin W, Everhardt Kate, Darrow Sabrina, Ohr Elizabeth Ellis, Young Matthew E, Serchuk Marisa D

机构信息

Institute of Living, Hartford, CT, USA.

Yale School of Medicine, New Haven, CT, USA.

出版信息

Assessment. 2023 Dec;30(8):2351-2363. doi: 10.1177/10731911221143994. Epub 2023 Jan 11.

Abstract

The objective of the present study was to examine the reliability and validity of a new semi-structured interview for pediatric psychiatric disorders, which is needed as existing interviews do not cover the full range of anxiety, mood, and obsessive-compulsive disorder (OCD)-related disorders. Three hundred eleven child patients (aged 10-17) were administered the Diagnostic Interview for Anxiety, Mood, and OCD and Related Neuropsychiatric Disorders-Child and Adolescent Version (DIAMOND-KID). Of these, 65 provided interrater reliability data and 59 provided test-retest reliability data. Participants also completed self-report measures that assessed symptoms of anxiety, mood, and OCD and related disorders. Although parents/guardians could participate in the interview at the clinician's discretion, most of the initial interviews and all of the reliability interviews were based on the child's self-report. Test-retest reliability ranged from very good to excellent. Interrater reliability was more variable, with estimates for generalized anxiety disorder and major depressive disorder in the questionable range; the other interrater reliability estimates ranged from good to very good. Convergent validity was established by significant between-group comparisons on applicable self-report measures for all diagnoses. The results of the present study indicate that the DIAMOND-KID is a promising semi-structured diagnostic interview for 5 edition of the in pediatric populations.

摘要

本研究的目的是检验一种针对儿童精神障碍的新型半结构化访谈的信度和效度,因为现有的访谈并未涵盖焦虑、情绪和强迫症(OCD)相关障碍的全部范围。311名儿童患者(年龄在10 - 17岁之间)接受了焦虑、情绪和OCD及相关神经精神障碍儿童青少年版诊断访谈(DIAMOND - KID)。其中,65名提供了评分者间信度数据,59名提供了重测信度数据。参与者还完成了评估焦虑、情绪、OCD及相关障碍症状的自我报告测量。尽管父母/监护人可根据临床医生的判断参与访谈,但大多数初次访谈和所有信度访谈均基于儿童的自我报告。重测信度从非常好到优秀不等。评分者间信度的变化更大,广泛性焦虑障碍和重度抑郁症的估计值处于可疑范围;其他评分者间信度估计值从良好到非常好不等。通过对所有诊断适用的自我报告测量进行显著的组间比较,建立了聚合效度。本研究结果表明,DIAMOND - KID是一种有前景的针对儿科人群的半结构化诊断访谈第5版。

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