Beitchman J H, Dielman T E, Landis J R, Benson R M, Kemp P L
Arch Gen Psychiatry. 1978 Dec;35(12):1461-6. doi: 10.1001/archpsyc.1978.01770360065008.
A total of 403 multiple diagnoses were independently assigned to 41 patient protocols by 73 psychiatrists, psychologists, and social workers to determine the levels of interrater reliability of the Group for the Advancement of Psychiatry (GAP) diagnostic categories. With the exception of the psychotic disorders category, these diagnostic categories were found to have low levels of interdiagnostician reliability. Differences in the reliabilities across disciplines and levels of training were found. It is noted, however, that neither years of experience, kind of training, nor direct contact with the patient can be regarded as a substitute for improvements in the classification system itself. The importance of a reliable classification system for child psychiatry is emphasized and suggestions for improvements in the present GAP system are made.
73位精神科医生、心理学家和社会工作者针对41份患者诊疗方案独立给出了总计403项多重诊断结果，以确定精神病学促进协会（GAP）诊断类别之间的评分者信度水平。除了精神障碍类别外，这些诊断类别被发现具有较低的诊断医师间信度。研究发现不同学科和培训水平之间的信度存在差异。然而需要指出的是，无论是从业年限、培训类型，还是与患者的直接接触，都不能被视为分类系统本身改进的替代因素。文中强调了可靠分类系统对儿童精神病学的重要性，并对当前GAP系统的改进提出了建议。
