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人格障碍评定量表的信度

Reliability of a schedule for rating personality disorders.

作者信息

Tyrer P, Alexander M S, Cicchetti D, Cohen M S, Remington M

出版信息

Br J Psychiatry. 1979 Aug;135:168-74. doi: 10.1192/bjp.135.2.168.

DOI:10.1192/bjp.135.2.168
PMID:497620
Abstract

The inter-situational, inter-rater and temporal reliability of a schedule for rating personality disorders is described. In an initial study with a simplified form of the schedule in patients from different wards of a psychiatric hospital inter-situational reliability between raters was higher for patients with personality disorders than with no personality disorder. Using the full schedule, inter-rater reliability, using audiotaped and separate interviews, and temporal reliability at interviews conducted a mean of 12.5 months apart all reached a satisfactory level, suggesting that the schedule may be a useful instrument for measuring deviant personality traits. The interview may be used with a subject or an informant but agreement between ratings made with informants and psychiatric patients during illness was low, and the schedule is not recommended for use with patients alone during acute episodes of illness.

摘要

本文描述了一种人格障碍评定量表的情境间、评定者间及时间稳定性。在一项初步研究中,采用简化版量表对一家精神病院不同病房的患者进行评定,结果显示,人格障碍患者评定者间的情境间稳定性高于非人格障碍患者。使用完整量表时,采用录音和单独访谈的评定者间稳定性以及间隔平均12.5个月进行访谈的时间稳定性均达到了令人满意的水平,这表明该量表可能是测量异常人格特质的有用工具。该访谈可用于受试者或 informant,但 informant 与患病期间的精神科患者所做评定之间的一致性较低,因此不建议在疾病急性期单独对患者使用该量表。

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