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勒纳尔诊断访谈。其在医生和非专业访谈者中的可靠性及程序效度。

Renard diagnostic interview. Its reliability and procedural validity with physicians and lay interviewers.

作者信息

Helzer J E, Robins L N, Croughan J L, Welner A

出版信息

Arch Gen Psychiatry. 1981 Apr;38(4):393-8. doi: 10.1001/archpsyc.1981.01780290027002.

Abstract

A psychiatric diagnostic interview that can be reliably and validly administered by nonpsychiatric physicians and lay interviewers has both research and clinical applications. We examined the interrater reliability and procedural validity of the Renard Diagnostic Interview (RDI), an instrument designed for these purposes. Randomly selected psychiatric inpatients were interviewed once by a psychiatrist using our standard departmental research interview and were then given RDIs by two psychiatrists, two lay interviewers, or one of each. The reliability of the RDI is estimated by examining diagnostic concordance for the two RDI interviews. Procedural validity is estimated by examining diagnostic concordance between the RDI and the traditional departmental interview. Both reliability and procedural validity were found to be high, and the study demonstrates that lay interviewers using the RDI after a brief period of training can obtain accurate diagnostic information.

摘要

一种能够由非精神科医生和外行访谈者可靠且有效地进行的精神病学诊断访谈具有研究和临床应用价值。我们检验了勒纳尔诊断访谈(RDI)的评分者间信度和程序效度,该工具就是为此目的而设计的。随机选取的精神病住院患者先由一位精神科医生使用我们科室的标准研究访谈进行一次访谈,然后由两位精神科医生、两位外行访谈者或各一位分别对其进行RDI访谈。通过检查两次RDI访谈的诊断一致性来估计RDI的信度。通过检查RDI与传统科室访谈之间的诊断一致性来估计程序效度。结果发现信度和程序效度都很高,该研究表明经过短时间培训后使用RDI的外行访谈者能够获得准确的诊断信息。

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