Baer L, Cukor P, Jenike M A, Leahy L, O'Laughlen J, Coyle J T
Consolidated Department of Psychiatry, Harvard Medical School, Boston, USA.
Am J Psychiatry. 1995 Sep;152(9):1383-5. doi: 10.1176/ajp.152.9.1383.
Remote video psychiatric assessment holds promise for providing expert consultation to underserved areas. The authors assessed the reliability of rating scales administered in person and over video to patients with obsessive-compulsive disorder.
Rating scales for obsessive-compulsive, depressive, and anxiety symptoms were administered in person (N = 16) and by means of narrow-bandwidth video transmission over one digital telephone line (N = 10). Interrater reliability was determined for each condition; for the video interviews one rater sat at the local site in front of the videoconsulting apparatus and asked the questions, and the patient and the second rater sat at the remote site.
Reliability was excellent in both conditions, and there was no degradation in reliability when the assessment was conducted over video.
Telemedicine resulted in near-perfect interrater agreement on rating scale scores. Its use for other disorders and for more in-depth assessments should be explored.
远程视频精神病学评估有望为服务欠缺地区提供专家咨询。作者评估了对强迫症患者进行面对面及视频方式评定量表的可靠性。
对强迫症、抑郁及焦虑症状的评定量表分别通过面对面方式（N = 16）及通过一条数字电话线进行窄带视频传输方式（N = 10）施测。确定每种情况下的评定者间信度；对于视频访谈，一名评定者坐在本地视频咨询设备前提问，患者及第二名评定者坐在远程站点。
两种情况下信度均极佳，通过视频进行评估时信度没有降低。
远程医疗在评定量表得分上达成了近乎完美的评定者间一致性。应探索其在其他疾病及更深入评估中的应用。
