Klein D N, Ouimette P C, Kelly H S, Ferro T, Riso L P
Department of Psychiatry, School of Medicine, State University of New York at Stony Brook 11794-2500.
Am J Psychiatry. 1994 Jul;151(7):1043-7. doi: 10.1176/ajp.151.7.1043.
The present study examined the test-retest reliability of team consensus best-estimate diagnoses of axis I and II disorders.
As part of a series of family studies of outpatients with depressive and personality disorders, best-estimate diagnoses of relatives were derived in team diagnostic conferences held regularly over 4 years. Diagnoses were based on all available information, including direct interviews, family history data, and treatment records, and explicit guidelines were developed to resolve discrepancies between data sources. To evaluate the reliability of the team best-estimate diagnoses, 92 relatives were independently rediagnosed after a 2-year interval.
The reliability of both axis I and II disorders was good to excellent. The results were similar for cases in which diagnoses were based on direct interviews plus informant data and cases in which diagnoses were based on informant data alone.
These data indicate that the team consensus best-estimate diagnostic method can be applied consistently, even over an interval of several years.
本研究检验了团队共识最佳估计诊断法对轴I和轴II障碍的重测信度。
作为对患有抑郁和人格障碍门诊患者一系列家族研究的一部分，在4年中定期举行的团队诊断会议上得出亲属的最佳估计诊断。诊断基于所有可得信息，包括直接访谈、家族史数据和治疗记录，并制定了明确的准则以解决数据源之间的差异。为评估团队最佳估计诊断的信度，92名亲属在间隔2年后接受了独立重新诊断。
轴I和轴II障碍的信度均为良好至优秀。基于直接访谈加 informant 数据做出诊断的病例与仅基于 informant 数据做出诊断的病例结果相似。
这些数据表明，即使间隔数年，团队共识最佳估计诊断方法仍可一致应用。
