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[墨西哥版戈德堡“标准化精神病学访谈”的临床医生间信度]

[Inter-clinician reliability of the Mexican version of Goldberg's "Standardized Psychiatric Interview"].

作者信息

Campillo-Serrano C, Caraveo Anduaga J, Medina-Mora M E, Martinez-Lanz P

出版信息

Acta Psiquiatr Psicol Am Lat. 1981 Mar;27(1):44-53.

PMID:7348067
Abstract

The Standardized Psychiatric Interview (SPI) was developed by Goldberg et al., for use in community surveys. The authors made the translation and adaptation of this instrument to Spanish and in this paper they present the inter-rater reliability study of different clinicians using the SPI in a sample of 30 women psychiatric out-patients. The raters were 4 psychiatrists and 2 clinical psychologists. A one week training course was developed before the study in order to get acquainted with the instrument, discuss it and use the standard technique to elicit and record psychiatric symptoms on 5 audiotapes and 10 subjects with different degrees of pathology. The inter-rater reliability was tested using the product-moment correlation, the statistic Kappa and a descriptive index of association in order to show the agreement between raters when the symptom was present or absent. A two-way analysis of variance was also carried out in order to test if there were any differences among the raters. The results show a mean product-moment correlation of 0.90 and a mean Kappa of 0.82. In 20 of the interviews a psychiatrist and a psychologist acted as raters and the results were almost the same. The authors conclude that the SPI is an useful technique for further studies in general practice and community surveys in the hands of mental health personnel trained in the use of Standardized Psychiatric Interview.

摘要

标准化精神病访谈(SPI)由戈德堡等人开发,用于社区调查。作者将该工具翻译成西班牙语并进行了改编,在本文中,他们展示了不同临床医生在30名女性精神科门诊患者样本中使用SPI的评分者间信度研究。评分者包括4名精神科医生和2名临床心理学家。在研究前开展了为期一周的培训课程,以便熟悉该工具、进行讨论,并使用标准技术在5盒录音带和10名具有不同病理程度的受试者身上引出并记录精神症状。使用积差相关、统计量Kappa和一个描述性关联指标来测试评分者间信度,以显示症状存在或不存在时评分者之间的一致性。还进行了双向方差分析,以测试评分者之间是否存在差异。结果显示平均积差相关为0.90,平均Kappa为0.82。在20次访谈中,一名精神科医生和一名心理学家作为评分者,结果几乎相同。作者得出结论,对于接受过标准化精神病访谈使用培训的心理健康人员而言,SPI是在一般实践和社区调查中进行进一步研究的有用技术。

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