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通过半结构化访谈评估儿童和青少年的情感障碍。学龄儿童情感障碍和精神分裂症评定量表(当前发作版)的重测信度。

The assessment of affective disorders in children and adolescents by semistructured interview. Test-retest reliability of the schedule for affective disorders and schizophrenia for school-age children, present episode version.

作者信息

Chambers W J, Puig-Antich J, Hirsch M, Paez P, Ambrosini P J, Tabrizi M A, Davies M

出版信息

Arch Gen Psychiatry. 1985 Jul;42(7):696-702. doi: 10.1001/archpsyc.1985.01790300064008.

DOI:10.1001/archpsyc.1985.01790300064008
PMID:4015311
Abstract

The reliability of assessment of Research Diagnostic Criteria and DSM-III axis I affective disorders in children and adolescents was studied using a semistructured diagnostic interview. The Schedule for Affective Disorders and Schizophrenia (SADS) for School-Age Children (Kiddie SADS) Present Episode Version, an adaptation of the adult SADS for children was used. Fifty-two subjects, aged 6 through 17 years, were interviewed in a test-retest format by one of three pairs of interviewers. Assessment of symptoms and composite scales of the depressive syndrome were determined to have acceptable reliability, as were three depressive diagnoses. Conduct disorder was assessed with high reliability. Four anxiety disorders and their composite symptoms were assessed with unacceptable reliability; only separation anxiety was assessed with acceptable reliability. The results of this study showed generally lower reliability of symptoms, scales, and diagnoses than did two studies of adults using the SADS.

摘要

使用半结构化诊断访谈研究了儿童和青少年中研究诊断标准及《精神疾病诊断与统计手册》第三版轴I情感障碍评估的可靠性。采用了适用于儿童的成人版《情感障碍和精神分裂症量表》(SADS)学龄儿童版(儿童SADS)当前发作版。52名年龄在6至17岁的受试者由三对访谈者中的一对以重测形式进行访谈。抑郁综合征的症状和综合量表评估被确定具有可接受的可靠性,三种抑郁诊断也是如此。品行障碍评估具有高可靠性。四种焦虑障碍及其综合症状评估的可靠性不可接受;只有分离焦虑评估具有可接受的可靠性。本研究结果显示,与两项使用SADS对成人进行的研究相比,症状、量表和诊断的可靠性总体较低。

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