Lee Jeewon, Kim Seong-Ju, Kim Dohyung, Yang Su-Jin, Lee Sangha, Lee Areum, Shin Yunmi
Department of Psychiatry, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea.
Department of Psychiatry, Ajou University School of Medicine, Suwon, Republic of Korea.
Psychiatry Investig. 2023 Feb;20(2):174-179. doi: 10.30773/pi.2022.0273. Epub 2023 Feb 23.
The purpose of the present study was to develop and validate the Korean version of the clinician-administered KSADSCOMP, which is the recently updated, web-based computerized version of the Kiddie Schedule for Affective Disorders and Schizophrenia for school-age children (KSADS).
A total of 71 participants (mean age=12.04±3.86 years, female=29.57%) participated in the study. A child-adolescent psychiatrist established a diagnosis for the participant after a thorough psychiatric interview with the participant and the parent. Researchers who were blind to the diagnoses administered the clinician-administered KSADS-COMP to the parents and participants. The gold-standard diagnoses made by child-adolescent psychiatrists were compared to the current diagnoses generated by the clinician-administered KSADS-COMP. Percent agreement, Cohen's Kappa, Gwet's first-order agreement coefficient (AC1), sensitivity, specificity, positive predictive value, and negative predictive value were calculated.
Gwet's AC1, our preferred measure of agreement, showed excellent range between 0.78 and 1. Sensitivity, specificity, positive predicted value and negative predictive value also showed high scores.
The current study demonstrated excellent criterion validity of the Korean version of the clinician-administered KSADSCOMP, though the small sample size could be a limitation. The current study was the first study to examine the criterion validity of the KSADS-COMP. Due to its readily usable format and efficient and accurate diagnostic process, widely-use of KSADS-COMP is expected.
本研究旨在开发并验证韩国版的临床医生实施的KSADS-COMP,它是最近更新的、基于网络的学龄儿童情感障碍和精神分裂症儿童版量表(KSADS)的计算机化版本。
共有71名参与者(平均年龄=12.04±3.86岁,女性占29.57%)参与了该研究。一名儿童青少年精神科医生在对参与者及其父母进行全面的精神科访谈后为参与者做出诊断。对诊断不知情的研究人员向父母和参与者实施临床医生实施的KSADS-COMP。将儿童青少年精神科医生做出的金标准诊断与临床医生实施的KSADS-COMP生成的当前诊断进行比较。计算一致性百分比、科恩kappa系数、格韦特一阶一致性系数(AC1)、敏感性、特异性、阳性预测值和阴性预测值。
格韦特的AC1是我们首选的一致性测量指标,显示出在0.78至1之间的优异范围。敏感性、特异性、阳性预测值和阴性预测值也显示出高分。
当前研究证明了韩国版临床医生实施的KSADS-COMP具有出色的效标效度,尽管小样本量可能是一个局限性。当前研究是第一项检验KSADS-COMP效标效度的研究。由于其易于使用的格式以及高效准确的诊断过程,预计KSADS-COMP将得到广泛应用。