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儿童结构化精神科访谈的开发:儿童与家长在个体症状上的一致性

Development of a structured psychiatric interview for children: agreement between child and parent on individual symptoms.

作者信息

Herjanic B, Reich W

出版信息

J Abnorm Child Psychol. 1982 Sep;10(3):307-24. doi: 10.1007/BF00912324.

DOI:10.1007/BF00912324
PMID:7175040
Abstract

To test the reliability of children's reporting as compared with that of their mothers, a highly structured psychiatric diagnostic interview was used with 307 subjects, ages 6 through 16. Another interviewer gave each mother a similar interview about the child. Responses of each mother-child pair to 168 questions were compared using the kappa statistic. Highest agreement was found on questions concerning symptoms that are concrete, observable, severe, and unambiguous. Mothers tended to report significantly more behavioral symptoms, and children more subjective symptoms. Reasons for low kappas and asymmetrical reporting of symptoms are discussed.

摘要

为了测试儿童报告与母亲报告相比的可靠性,对307名6至16岁的受试者进行了高度结构化的精神病学诊断访谈。另一名访谈者对每位母亲就其孩子进行了类似的访谈。使用kappa统计量比较了每对母子对168个问题的回答。在关于具体、可观察、严重且明确的症状的问题上,一致性最高。母亲倾向于报告明显更多的行为症状,而孩子报告更多的主观症状。讨论了kappa值低和症状报告不对称的原因。

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