Fernando T, Mellsop G, Nelson K, Peace K, Wilson J
Am J Psychiatry. 1986 Jun;143(6):752-5. doi: 10.1176/ajp.143.6.752.
The authors studied the reliability of axis V of DSM-III by analyzing ratings of 97 psychiatric inpatients made by a multidisciplinary team of clinicians. The intraclass correlation coefficient for ratings of the overall sample was .49, lower than the figure found during the DSM-III field trials. The psychiatric diagnosis, age, ethnicity, marital status, and sex of the patient did not significantly influence reliability. The authors recommend more explicit instructions in the administration of the scale, the use of a standardized interview, and more training for raters as ways of increasing reliability.
作者通过分析一个多学科临床医生团队对97名精神科住院患者的评定，研究了《精神疾病诊断与统计手册》第三版（DSM-III）轴V的可靠性。整个样本评定的组内相关系数为0.49，低于DSM-III现场试验中得出的数字。患者的精神科诊断、年龄、种族、婚姻状况和性别对可靠性没有显著影响。作者建议在量表施测过程中给出更明确的指导说明，采用标准化访谈，并对评定者进行更多培训，以此提高可靠性。
