Kalachnik J E, Sprague R L
Minnesota Department of Human Services, St. Paul 55155-3821.
J Clin Psychol. 1993 Mar;49(2):177-89.
Items means and standard deviations, reliability, and validity for the Dyskinesia Identification System Condensed User Scale (DISCUS) are presented for mentally ill and mentally retarded populations. A total score cut-off was developed and tested against physician diagnosis and the Research Diagnoses for Tardive Dyskinesia (RD-TD; Schooler & Kane, 1982). DISCUS total score reliability was .92 for mentally ill and .91 for mentally retarded individuals. The DISCUS total score was significantly greater for 108 diagnosed tardive dyskinesia (TD) cases compared to 108 matched controls. The DISCUS total score of 5 or above was associated significantly with physician TD diagnosis and the RD-TD intensity criterion. The psychometrically derived DISCUS cut-off score of 5 or above is a "red flag" that clinicians may use in monitoring individuals prescribed antipsychotic medication for TD.
本文呈现了针对精神疾病患者和智力障碍人群的异动症识别系统简明用户量表(DISCUS)的项目均值、标准差、信度和效度。制定了一个总分临界值,并根据医生诊断和迟发性运动障碍研究诊断标准(RD-TD;Schooler和Kane,1982年)进行了测试。DISCUS总分的信度在精神疾病患者中为0.92,在智力障碍个体中为0.91。与108名匹配的对照相比,108例诊断为迟发性运动障碍(TD)的病例的DISCUS总分显著更高。DISCUS总分5分及以上与医生的TD诊断和RD-TD强度标准显著相关。从心理测量学角度得出的DISCUS临界值5分及以上是一个“危险信号”,临床医生在监测服用抗精神病药物的个体是否出现TD时可以使用。